Do NOT Drown Your Shock Patients with IV Fluids

Saving Lives Podcast: Critical Care w/eddyjoemd

Septic shock patients need some IV fluids for resuscitation, there's no argument about that. But there seems to be a tendency of proving too much IV fluids which can be deleterious to our patients as I will discuss in this podcast. In this episode, we discuss the controversial topic of fluid management in shock patients. While fluids are an essential part of resuscitation, excessive fluid administration can have harmful effects. We explore the evidence for conservative fluid management strategies and how they can improve patient outcomes. We also touch on the importance of monitoring hemodynamic parameters and tailoring fluid therapy to individual patient needs. Join us as we dive into this important topic and challenge the traditional approach to fluid resuscitation in critically ill patients.

Show Notes: https://eddyjoemd.com/fluid-resuscitation

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Citations:
Malbrain MLNG, Van Regenmortel N, Saugel B, De Tavernier B, Van Gaal PJ, Joannes-Boyau O, Teboul JL, Rice TW, Mythen M, Monnet X. Principles of fluid management and stewardship in septic shock: it is time to consider the four D's and the four phases of fluid therapy. Ann Intensive Care. 2018 May 22;8(1):66. doi: 10.1186/s13613-018-0402-x. PMID: 29789983; PMCID: PMC5964054.

Chaudhuri D, Herritt B, Lewis K, Diaz-Gomez JL, Fox-Robichaud A, Ball I, Granton J, Rochwerg B. Dosing Fluids in Early Septic Shock. Chest. 2020 Oct 13:S0012-3692(20)34890-X. doi: 10.1016/j.chest.2020.09.269. Epub ahead of print. PMID: 33058814.

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