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©The Author(s) 2024.
World J Crit Care Med. Sep 9, 2024; 13(3): 95781
Published online Sep 9, 2024. doi: 10.5492/wjccm.v13.i3.95781
Published online Sep 9, 2024. doi: 10.5492/wjccm.v13.i3.95781
Ref. | Research findings | Methodologies employed | Clinical approaches | Fluid types and bolus rates | Gaps in current research/limitations | Practical insights for healthcare professionals |
Caltabeloti et al[5], 2014 | Early fluid loading worsens lung aeration without affecting oxygenation | Observational study with lung ultrasound | Early aggressive fluid loading in ARDS | Not specified | Limited by observational design, small sample size | Caution against early aggressive fluid loading in ARDS patients |
Ukor et al[7], 2017 | Bolus infusion causes more pronounced hemodynamic changes compared to slower infusion | Experimental study with healthy volunteers | Comparison of bolus vs slow infusion | Intravenous crystalloid at different rates | Limited to healthy volunteers, not critically ill patients | Consider slower infusion rates for better hemodynamic stability |
Kattan et al[8], 2020 | Identifies optimal targets for fluid resuscitation in septic shock | Review of existing studies and guidelines | Septic shock resuscitation strategies | Various fluids and administration rates | Variability in study designs and targets | Personalized resuscitation targets based on patient condition |
Connor et al[9], 2021 | Crystalloid composition and administration rate impact resuscitation outcomes | Analysis of ICU patient data | Different rates and compositions of crystalloids | Crystalloids at various rates | Lack of large-scale randomized trials | Importance of considering fluid composition and rate in ICU resuscitation |
Trejnowska et al[11], 2019 | Fluid balance is critical for outcomes in critically ill patients | Retrospective observational study | Monitoring and managing fluid balance | Not specified | Retrospective design, single-center study | Emphasizes meticulous fluid balance management |
Barmparas et al[12], 2014 | Positive fluid balance is associated with worse outcomes in surgical patients | Prospective observational study | Monitoring fluid balance | Crystalloids and colloids | Single-center study, observational design | Avoid positive fluid balance to improve outcomes |
Zampieri et al[15], 2021 | Slower bolus rates may improve mortality in critically ill patients | Randomized clinical trial | Comparison of slower and faster bolus rates | Intravenous fluids at different bolus rates | Potential variability in patient conditions | Slower bolus rates could be beneficial for critically ill patients |
Shen et al[14], 2017 | Negative fluid balance is linked to lower mortality in critically ill patients | Retrospective cohort study | Monitoring fluid intake and outcomes | Not specified | Retrospective design, potential confounding factors | Targeting negative fluid balance may improve survival |
Chen et al[13], 2020 | Early positive fluid balance was associated with higher 1-year mortality in critically ill cancer patients | Retrospective observational study | Emphasizes early fluid management in cancer patients | Not specified in the study | Retrospective design, single-center study, potential for confounding variables | Highlights the need for careful fluid management in critically ill cancer patients to improve long-term survival |
- Citation: Othman MI, Mustafa EM, Alfayoumi M, Khatib MY, Nashwan AJ. Impact of different intravenous bolus rates on fluid and electrolyte balance and mortality in critically ill patients. World J Crit Care Med 2024; 13(3): 95781
- URL: https://www.wjgnet.com/2220-3141/full/v13/i3/95781.htm
- DOI: https://dx.doi.org/10.5492/wjccm.v13.i3.95781