Fluid Management in ICU
I’ve come across a couple of interesting papers on fluid administration in the ICU of late: an Editorial entitled ‘Fluid Management in the ICU: has the tide turned?’ (a comment on a systematic review and meta-analysis of the use of fluid boluses in ARDS and sepsis) and 'Fluid management for critically ill patients: a review of the current state of fluid therapy in the intensive care unit.’ It is hard to find any evidence that continued fluid boluses beyond resuscitation are beneficial and the scales continue to sway to the deleterious….
I admit, I am not in equipoise on this issue!