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- W2299694098 abstract "Microcirculatory alterations are frequently observed in critically ill patients undergoing major surgery and those who suffer from trauma or sepsis. Despite the need for adequate fluid administration to restore microcirculation, there is no consensus regarding optimal fluid therapy for these patients. The recent recognition of the importance of the endothelial glycocalyx layer in capillary fluid and solute exchange has largely changed our views on fluid therapy in critical illness. Given that disease status largely differs among critically ill patients, fluid therapy must not be considered generally, but rather tailored to the clinical condition of each patient. This review outlines the current understanding of context-sensitive volume expansion by fluid solutions and considers its clinical implications for critically ill patients. The modulation of capillary hydrostatic pressure through the appropriate use of vasopressors may increase the effectiveness of fluid infusion and thereby reduce detrimental effects resulting from excessive fluid administration." @default.
- W2299694098 created "2016-06-24" @default.
- W2299694098 creator A5022268314 @default.
- W2299694098 date "2016-03-15" @default.
- W2299694098 modified "2023-10-12" @default.
- W2299694098 title "Context-sensitive fluid therapy in critical illness" @default.
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- W2299694098 doi "https://doi.org/10.1186/s40560-016-0150-7" @default.
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