Fluid management: Pharmacologic and renal replacement therapies

Eric L. Wald*, Gal Finer, Mary E. McBride, Nguyenvu Nguyen, John M. Costello, Conrad L. Epting

*Corresponding author for this work

Research output: Contribution to journalReview article

2 Scopus citations

Abstract

Objectives: Focusing on critically ill children with cardiac disease, we will review common causes of fluid perturbations, clinical recognition, and strategies to minimize and treat fluid-related complications. Data Source: MEDLINE and PubMed. Conclusions: Meticulous fluid management is vital in critically ill children with cardiac disease. Fluid therapy is important to maintain adequate blood volume and perfusion pressure in order to support cardiac output, tissue perfusion, and oxygen delivery. However, fluid overload and acute kidney injury are common and are associated with increased morbidity and mortality. Understanding the etiologies for disturbances in volume status and the pathophysiology surrounding those conditions is crucial for providing optimal care.

Original languageEnglish (US)
Pages (from-to)S257-S265
JournalPediatric Critical Care Medicine
Volume17
Issue number8
DOIs
StatePublished - Jan 1 2016

Keywords

  • acute kidney injury
  • dialysis
  • diuretics
  • fluid management
  • pediatrics

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Critical Care and Intensive Care Medicine

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