Fluid Management in Acute Respiratory Failure

Crit Care Clin. 2024 Apr;40(2):291-307. doi: 10.1016/j.ccc.2024.01.004. Epub 2024 Feb 6.

Abstract

Fluid management in acute respiratory failure is an area of uncertainty requiring a delicate balance of resuscitation and fluid removal to manage hypoperfusion and avoidance of hypoxemia. Overall, a restrictive fluid strategy (minimizing fluid administration) and careful attention to overall fluid balance may be beneficial after initial resuscitation and does not have major side effects. Further studies are needed to improve our understanding of patients who will benefit from a restrictive or liberal fluid management strategy.

Keywords: ARDS; Respiratory failure; fluid management.

Publication types

  • Review

MeSH terms

  • Humans
  • Respiratory Distress Syndrome* / therapy
  • Respiratory Insufficiency* / therapy
  • Resuscitation
  • Water-Electrolyte Balance