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Fluid Management in Acute Lung Injury and Ards by Antoine Roch; Christophe Guervilly; Laurent Papazian is a Medicine article available to read on EtoBox.

What is Fluid Management in Acute Lung Injury and Ards about?

ARDS is particularly characterized by pulmonary edema caused by an increase in pulmonary capillary permeability. It is considered that limiting pulmonary edema or accelerating its resorption through the modulation of fluid intake or oncotic pressure could be beneficial. This review discusses the principal clinical studies that have made it possible to progress in the optimization of the fluid state during ARDS. Notably, a randomized, multicenter study has suggested that fluid management with the goal to obtain zero fluid balance in ARDS patients without shock or renal failure significantly increases the number of days without mechanical ventilation. On the other hand, it is accepted that patients with hemodynamic failure must undergo early and adapted vascular filling. Liberal and conservative filling strategies are therefore complementary and should ideally follow each other in time in the same patient whose hemodynamic state progressively stabilizes. At present, although albumin treatment has been suggested to improve oxygenation transiently in ARDS patients, no sufficient evidence justifies its use to mitigate pulmonary edema and reduce respiratory morbidity. Finally, the resorp

Who reads Fluid Management in Acute Lung Injury and Ards?

Author

Antoine Roch; Christophe Guervilly; Laurent Papazian

Publisher

BioMed Central; Springer (Biomed Central Ltd.); Springer-Verlag GmbH and Co. KG; Paris: Springer France, 2011-; Springer Science and Business Media LLC; Springer Nature (ISSN 2110-5820)

Published

2011

Language

EN

Field

Medicine (Health Sciences)