Despite following 'universal precautions', accidental exposure may occur while performing invasive procedures and handling high risk fluids [ 12, 13].
High EVLWI and PVPI values may indicate that further fluid administration risks fluid overload and, at the post-acute phase, that fluid removal should be initiated.
This method has inherent risks; fluid imbalance, leading to dehydration, infections due to improperly sterilized equipment and electrolyte imbalances.
However, the risk of fluid removal is to remove too much fluid and to impair the haemodynamic condition.
On the other hand, intravenous fluids are part of the management of AKI, which increases the risk of fluid overload in these patients.
Because of the risk of fluid overload and the inconstant efficacy of volume expansion, the decision to administer fluid cannot be taken lightly.
Along with elements indicating the risk of fluid administration, they should help clinicians to take the decision to administer fluids or not in a reasoned way.
The risk of fluid absorption is even greater during myomectomies where large blood vessels are breached facilitating the absorption of fluid under pressure.
This current practice undoubtedly increases the risk of fluid overload in critically ill patients [102].
Second, EVLWI and PVPI may be used as criteria indicating the risk of fluid administration.
Although hemodynamic maximization is favored, this approach is connected to a risk of fluid overload and heart failure.
