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Introduction Predicting fluid responsiveness is of paramount importance to avoid unnecessary fluid administration in ARDS patients, since a positive fluid balance is associated with ARDS mortality (1).
Third, the PLR test could be used in order to avoid unnecessary fluid infusion.
This protocol was shown to be safe and to avoid unnecessary fluid contributions.
FHP offer unique information about fluid responsiveness, which may help detect fluid needs and avoid unnecessary fluid loading.
PPV has been advocated to indicate volume responsiveness - in part in order to avoid unnecessary fluid loading.
After initial resuscitation, it is crucial to avoid unnecessary fluid accumulation to limit later requirements for fluid removal.
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In that respect, the study by Chappell and colleagues [ 1] in the previous issue of Critical Care adds an important piece of information to the debate over the need for careful monitoring of patients in order to avoid unnecessary fluids.
It avoids unnecessary fluid administration and contributes to reducing the cumulative fluid balance.
Early resuscitation guided by lactate levels and below-normal preload volume targets appears safe and avoids unnecessary fluid input.
Early resuscitation guided by lactate levels and hemodynamic targets below normal appears safe and avoids unnecessary fluid input.
Our primary hypothesis was that early resuscitation guided by lactate levels and hemodynamic targets below normal is safe and avoids unnecessary fluid input.
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