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Copyright ©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
Table 1 Literature review of intravenous bolus rates on fluid and electrolyte balance and mortality in critically ill patients
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], 2014Early fluid loading worsens lung aeration without affecting oxygenationObservational study with lung ultrasoundEarly aggressive fluid loading in ARDSNot specifiedLimited by observational design, small sample sizeCaution against early aggressive fluid loading in ARDS patients
Ukor et al[7], 2017Bolus infusion causes more pronounced hemodynamic changes compared to slower infusionExperimental study with healthy volunteersComparison of bolus vs slow infusionIntravenous crystalloid at different ratesLimited to healthy volunteers, not critically ill patientsConsider slower infusion rates for better hemodynamic stability
Kattan et al[8], 2020Identifies optimal targets for fluid resuscitation in septic shockReview of existing studies and guidelinesSeptic shock resuscitation strategiesVarious fluids and administration ratesVariability in study designs and targetsPersonalized resuscitation targets based on patient condition
Connor et al[9], 2021Crystalloid composition and administration rate impact resuscitation outcomesAnalysis of ICU patient dataDifferent rates and compositions of crystalloidsCrystalloids at various ratesLack of large-scale randomized trialsImportance of considering fluid composition and rate in ICU resuscitation
Trejnowska et al[11], 2019Fluid balance is critical for outcomes in critically ill patientsRetrospective observational studyMonitoring and managing fluid balanceNot specifiedRetrospective design, single-center studyEmphasizes meticulous fluid balance management
Barmparas et al[12], 2014Positive fluid balance is associated with worse outcomes in surgical patientsProspective observational studyMonitoring fluid balanceCrystalloids and colloidsSingle-center study, observational designAvoid positive fluid balance to improve outcomes
Zampieri et al[15], 2021Slower bolus rates may improve mortality in critically ill patientsRandomized clinical trialComparison of slower and faster bolus ratesIntravenous fluids at different bolus ratesPotential variability in patient conditionsSlower bolus rates could be beneficial for critically ill patients
Shen et al[14], 2017Negative fluid balance is linked to lower mortality in critically ill patientsRetrospective cohort studyMonitoring fluid intake and outcomesNot specifiedRetrospective design, potential confounding factorsTargeting 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 patientsRetrospective observational studyEmphasizes early fluid management in cancer patientsNot specified in the studyRetrospective design, single-center study, potential for confounding variablesHighlights the need for careful fluid management in critically ill cancer patients to improve long-term survival