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Clinical reviews
Unnecessary fluid therapy in patients with shock Five classic fluid
Antwerp University Hospital
PDF9 pages1.2 MB
The article outlines five recurring pitfalls in fluid therapy, including confusion between resuscitation, maintenance, and replacement fluids, failure to recognize hidden fluid sources, underestimation of sodium burden, reflexive fluid administration based on misleading markers, and an over‑focus on fluid responsiveness without considering tolerance. It discusses the role of colloids such as albumin, the impact of sodium and chloride content of fluids, and the importance of interpreting fluid balance alongside clinical assessment. Practical recommendations emphasize a pragmatic, physiology‑driven approach to improve patient outcomes in shock and sepsis.
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