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|Title:||Defining fluid removal in the intensive care unit: A national and international survey of critical care practice.|
|Authors:||O'Connor, Michael E;Jones, Sarah L;Glassford, Neil J;Bellomo, Rinaldo;Prowle, John R|
|Affiliation:||Intensive Care Unit, Royal Darwin Hospital, Tiwi, Australia|
Department of Intensive Care, Austin Health, Heidelberg, Victoria, Australia
Australian and New Zealand Intensive Care Research Centre, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia
School of Medicine, The University of Melbourne, Melbourne, Australia
Adult Critical Care Unit, Royal London Hospital, Barts Health NHS Trust, London, UK
Critical Care and Perioperative Medicine Research Group, William Harvey Research Institute, Queen Mary University of London, London, UK
|Citation:||Journal of the Intensive Care Society 2017; 18(4): 282-288|
|Abstract:||To identify and compare how intensive care unit specialists in the United Kingdom and Australia and New Zealand self-reportedly define, assess and manage fluid overload in critically ill patients using a structured online questionnaire. We assessed 219 responses. Australia and New Zealand and United Kingdom intensive care unit specialists reported using clinical examination findings, bedside tools and radiological features to assess fluid status, diagnose fluid overload and initiate fluid removal in the critically ill. An elevated central venous pressure is not regarded as helpful in diagnosing fluid overload and targeting a clinician-set fluid balance is the most popular management strategy. Renal replacement therapy is used ahead of more diuretic therapy in patients who are oligo/anuric, or when diuretic therapy has not generated an adequate response. This self-reported account of practice by United Kingdom and Australia and New Zealand intensivists demonstrates that fluid overload remains poorly defined with variability in both management and practice.|
renal replacement therapy
|Appears in Collections:||Journal articles|
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