SCCM Resource Library-To Flush or Not to Flush: Historical Pearls and Faux Pas of Fluid Therapy in the ICU

To Flush or Not to Flush: Historical Pearls and Faux Pas of Fluid Therapy in the ICU

Video Transcription

Video Summary

Dr. Jihad Malad discusses IV fluid dynamics and the influence of osmolarity and tonicity on fluid distribution. He examined the historical context and limitations of using 0.9% saline solution, often leading to metabolic acidosis. The talk highlights the benefits of balanced crystalloids, such as Ringer's lactate, over saline in specific clinical contexts, noting decreased mortality for septic patients. He advises against certain fluids in conditions like acute brain injury or septic shock. The presentation encourages a pH-guided resuscitation approach, tailored to address specific acid-base imbalances. Common misconceptions about fluid compatibility and safety are also clarified.

Asset Caption

One-Hour Concurrent Session | Fluid, Fluid, All Around, and Not a Drop to Drink! Current Fluid Controversies and Novel Therapies

Meta Tag

Content Type Presentation

Membership Level Professional

Membership Level Select

Year 2024

Keywords

IV fluid dynamics

osmolarity

balanced crystalloids

pH-guided resuscitation

fluid compatibility

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