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We formulated a comprehensive set of topics, related to important common clinical situations involving IV fluid therapy, (routine fluid replacement, fluid loss, fluids overload) to assess the adequacy of textbooks in common use.
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We defined fluid overload as a fluid balance > 5%.
Open image in new window Fig. 5 Fluid overload.
Moderate fluid overload causes hypervolaemia and consequent dilutional hyponatraemia.
Fluid overload is associated with poor outcomes in septic patients.
Impact of innovations to reduce fluid overload on subsequent prevalence.
Fluid overload and acute kidney injury: cause or consequence?
Fluid overload should be avoided in this setting.
Fluid overload is strongly correlated with mortality at any degree.
This should include unrecognised fluid overload in women presenting post-operatively as well as all women where fluid overload was identified during surgery.
Despite the relationship between fluid overload and AKI frequency and severity, there are no data, demonstrating that the control of fluid overload may have a beneficial renal effect.
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