SCCM Resource Library-When Less Fluid Is More

Video Transcription

Video Summary

The video discusses fluid management in patients with respiratory failure, specifically in the context of acute respiratory distress syndrome (ARDS). ARDS is a condition in which damage to the barriers in the lungs leads to the accumulation of fluid in the alveoli. In the initial phase of treatment, the goal is to restore intravascular volume and organ perfusion. However, there is a risk of fluid overload. Observational studies have shown that positive fluid balance is associated with increased mortality in critically ill patients. In terms of fluid resuscitation, there is ongoing research on the optimal amount of fluids to give. Two major trials are currently investigating different fluid management strategies in septic patients, which can be applicable to ARDS patients. In the de-resuscitation phase, there is variation in practice and opinions on how to manage fluid overload. The video also highlights the need for more research on the timing and threshold for de-resuscitation.

Asset Subtitle

Pulmonary, Procedures, 2022

Asset Caption

This session will explore when less intervention means better outcomes in mechanical ventilation. The session will be centered around less use of muscle relaxants (ROSE trial), less use of extracorporeal carbon dioxide removal (REST trial) and less use of fluids.

Meta Tag

Content Type Presentation

Knowledge Area Pulmonary

Knowledge Area Procedures

Knowledge Level Foundational

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Tag Respiratory Failure

Tag Mechanical Ventilation

Year 2022

Keywords

fluid management

respiratory failure

ARDS

fluid overload

mortality

research

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