Assessment of volume status and fluid responsiveness in the emergency department: a systematic approach
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Assessment of volume status and fluid responsiveness in the emergency department: a systematic approach. / Maurer, C; Wagner, J Y; Schmid, R M; Saugel, B.
In: MED KLIN-INTENSIVMED, Vol. 112, No. 4, 05.2017, p. 326-333.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Assessment of volume status and fluid responsiveness in the emergency department: a systematic approach
AU - Maurer, C
AU - Wagner, J Y
AU - Schmid, R M
AU - Saugel, B
PY - 2017/5
Y1 - 2017/5
N2 - When treating acutely ill patients in the emergency department (ED), the successful management of a variety of medical conditions, such as sepsis, acute kidney injury, and pancreatitis, is highly dependent on the correct assessment and optimization of a patient's intravascular volume status. Therefore, it is crucial that the ED physician knows and uses available means to assess intravascular volume status to adequately guide fluid therapy. This review focuses on techniques for volume status assessment that are available in the ED including basic clinical and laboratory findings, apparatus-based tests such as sonography and chest x-ray, and functional tests to evaluate fluid responsiveness. Furthermore, we provide an outlook on promising innovative, noninvasive technologies that might be used for advanced hemodynamic monitoring in the ED.
AB - When treating acutely ill patients in the emergency department (ED), the successful management of a variety of medical conditions, such as sepsis, acute kidney injury, and pancreatitis, is highly dependent on the correct assessment and optimization of a patient's intravascular volume status. Therefore, it is crucial that the ED physician knows and uses available means to assess intravascular volume status to adequately guide fluid therapy. This review focuses on techniques for volume status assessment that are available in the ED including basic clinical and laboratory findings, apparatus-based tests such as sonography and chest x-ray, and functional tests to evaluate fluid responsiveness. Furthermore, we provide an outlook on promising innovative, noninvasive technologies that might be used for advanced hemodynamic monitoring in the ED.
U2 - 10.1007/s00063-015-0124-x
DO - 10.1007/s00063-015-0124-x
M3 - SCORING: Journal article
C2 - 26676240
VL - 112
SP - 326
EP - 333
JO - MED KLIN-INTENSIVMED
JF - MED KLIN-INTENSIVMED
SN - 2193-6218
IS - 4
ER -