THE FLUID OVERLOAD: CAUSES, DIAGNOSIS, COMPLICATIONS, TREATMENT
https://doi.org/10.21292/2078-5658-2015-12-3-65-73
Abstract
The review describes the current understanding of the fluid overload etiology and the edema propagation mechanisms, as well as the basic metabolic changes which occur under the fluid overload are analyzed. The clinical, laboratory and radiological diagnostic methods and the methods of treatment are given in detail. The international data on the possible complications under the fluid overload are presented.
About the Authors
A. V. Dats
Irkutsk State Medical Academy of Postgraduate Education, Irkutsk
Russian Federation
Russian Federation
V. I. Gorbachev
Irkutsk State Medical Academy of Postgraduate Education, Irkutsk
Russian Federation
Russian Federation
References
1. Aleksandrovich Yu.S., Gordeev V.I., Pshenisnov K.V. Intensivnaya terapiya infektsionnykh zabolevaniy u detey. [Intensive therapy of infectious diseases in children]. St. Petersburg, ELBI-SPb Publ., 2010, 311 p.
2. Barash P. Klinicheskaya anesteziologiya. (Russ. Ed.: Paul G. Barash, Bruce F. Cullen, Robert K. Stoelting. Clinical Anesthesia). 2nd ed., Moscow, Med. Lit. Publ., 2010, 699 p.
3. Bunshman T.E. Acute renal failure and renal substitution therapy. V Mezhdunar. konf. Aktualnye aspekty ekstrakorporalnogo ochischeniya krovi v intensivnoy terapii. [The Vth International Conference on Actual Aspects of Extracorporal Blood Clearance in the Intensive Therapy]. Moscow, 2006. pp. 9-18. (In Russ.)
4. Daugirdas D.T., Blake P.D., Ing T.S. Rukovodstvo po dializu. (Russ. Ed.: J.T. Daugirdas, P.G. Blake, T.S. Ing. Handbook of dialysis). 3rd ed., Tver, Triada Publ., 2003, 744 p.
5. Dats A.V., Gorbachev V.I. Etiologiya, klinicgeskoye techeniye i intensivnaya terapiya narusheniy vodnogo obmena pri sindrome poliorgannoy nedostatochnosti. [Etiology, clinical treatment and intensive care of water exchange disorders by the syndrome of multiple organ failure]. Irkutsk, RIO IGIUVa Publ., 2011, 212 p.
6. Dats A.V., Gorbachev V.I., Gaskin el al. Impact of hypervolemia on the severity of the state, organ failure and survival of patients in the intensive care department. Politravma, 2012, no. 2, pp. 31-34. (In Russ.)
7. Devaryan P. Treatment of acute renal traumas in newborns and children – from conservatives measures up to substitutional renal therapy. VII Mezhdunar. konf. Aktualnye aspekty ekstrakorporalnogo ochischeniya krovi v intensivnoy terapii. [The VIIth International Conference on Actual Aspects of Extracorporal Blood Clearance in the Intensive Therapy]. Moscow, 2010, pp. 7-11. (In Russ.)
8. Kirov M.Yu., Kuzkov V.V. Optimization of hemodynamics in peri-operative period: literature review. Vestnik Anasteziol. i Reanimatol., 2012, no. 5, pp. 56-66. (In Russ.)
9. Kinzhalova S.V., Davydova N.S., Makarov R.A. Role of hemodynamics monitoring by abdominal cesarean section. Vestnik Anasteziol. i Reanimatol., 2013, no. 4, pp. 55-61. (In Russ.)
10. Lubnin A.Yu. Information about FRACTA-2009. Anesteziol. i Reanimatol., 2009, no. 5, pp. 80-85. (In Russ.)
11. Morgan D.E., Megius M. Clinicheskaya anesteziologiya. Kniga vtoraya. [Clinical anesthesiology]. Moscow, Binom Publ., 2004, 364 p.
12. Allman K., Wilson A. Oksfordsky spravochnik po anestezii. (Russ. ed.: Allman K., Wilson A. Oxford Handbook of Anaesthesia). Moscow, Binom. Laboratoriya Znaniy Publ., 2009, 764 p.
13. Saveliev V.S., Gelfand B.R. Sepsis: klassifikatsiya, kliniko-diagnosticheskaya kontseptsiya i lecheniye: prakticheskoye rukovodstvo. [Sepsis: classification, clinical and diagnostic concept and treatment: manual]. Moscow, OOO Meditsinskoye Informatsionnoye Agentstvo Publ., 2010. 2010, 352 p.
14. Sue D.I., Vinch D. Intensivnaya terapiya: sovremennye aspekty. (Russ. Ad.: Darryl Sue, Janine Vintch. Current Essential Critical Care). Moscow, MEDpress-Inform Publ., 2008, 335 p.
15. Fauci A., Brownwald U., Isselbaher K. Vnutrenniye bolezni po Tinsley R. Harrison. (Russ. Ed.:, Anthony Fauci, Dennis Kasper, Stephen Hauser. Harrison's Principles of Internal Medicine, 7 volumes). Moscow, Praktika Publ., 2005, vol. 4, 461 p.
16. Heinz U., Horne M. Vodno-elekrolitniy i kislotno-osnovnoy balans. (Russ. Ed.: Ursula Heitz, Mima M. Horne. Pocket Guide to Fluid, Electrolyte, and Acid-Base Balance). Moscow, Binom Publ., 2009, 359 p.
17. Alsous F., Khamiees M., DiGirolamo A. et al. Negative fluid balance predicts survival in patients with septic shock: A retrospective pilot study. Chest, 2000, vol. 117, pp. 1749-1754.
18. ARDS clinical trial network: comparison of two fluid-management strategies in acute lung injury. N. Engl. J. Med., 2006, vol. 354, pp. 2564-2575.
19. Arikan A.A., Zappitelli M., Goldstein S.L. et al. Fluid overload is associated with impaired oxygenation and morbidity in critically ill children. Pediatr. Crit. Care Med., 2012, vol. 13, pp. 253-258.
20. Bagshaw S.M., Brophy P.D., Cruz D. et al. Fluid balance as a biomarker: impact of fluid overload on outcome in critically ill patients with acute kidney injury. Crit. Care Med., 2008, vol. 12, pp. 169.
21. Bagshaw S.M., Lapinsky S., Dial S. et al. Acute kidney injury in septic shock: clinical outcomes and impact of duration of hypotension prior to initiation of antimicrobial therapy. Intens. Care Med., 2009, vol. 35, pp. 871-881.
22. Bouchard J., Soroko S.B., Chertow G.M. et al. Fluid accumulation, survival and recovery of kidney function in critically ill patients with acute kidney injury (Program to Improve Care in Acute Renal Disease (PICARD) Study Group). Kidney Int., 2009, vol. 76, pp. 422-427.
23. Brandstrup B., Tоnnesen H., Beier-Holgersen R. et al. Danish study group on perioperative fluid therapy: effects of intravenous fluid restriction on postoperative complications: comparison of two perioperative fluid regimens: a randomized assessor-blinded multicenter trial. Ann. of Surg., 2003, vol. 238, pp. 641-648.
24. Bunchman T.E., McBrede K.D., Mottes T.E. et al. Pediatric acute renal failure: outcome by modality and disease. Pediatr. Nefrol., 2001, vol. 16, pp. 1067.
25. Foland J.A., Fortenberry J.D., Warshaw B.L. et al. Fluid Overload before continuous hemofiltration and survival in critically ill children: a retrospective analysis. Crit. Care Med., 2004, vol. 32, pp. 1771-1776.
26. Gillespie R.S., Seidel K., Symons J.M. Effect of fluid overload and dose of replacement fluid on survival in hemofiltration. Ped. Nephrol. 2004, vol. 19, pp. 1394-1399.
27. Goldstein S.L., Currier H., Graf C. et al. Outcome in children receiving continuous venovenous hemofiltration. Pediatrics, 2001, vol. 107, pp. 1309-1312.
28. Goldstein S.L., Somers M.J., Baum M.A. et al. Goldstein, S.L. Pediatric patients with multi-organ dysfunction syndrome receiving continuous renal replacement therapy. Kidney Int., 2005, vol. 67, pp. 653-658.
29. Hofer C.K., Cecconi М., Marx G. et al. Minimally invasive monitoring. Eur. J. Anaesth., 2009, vol. 26, pp. 996-1002.
30. Lowell J.A., Schifferdecker C., Driscoll D.F. et al. Postoperative fluid overload: not a benign problem. Crit. Care Med., 1990, vol. 18, pp. 728-733.
31. Mehta R.L. Fluid balance and acute kidney injury: the missing link for predicting adverse outcomes. Nat. Clin. Pract. Nephrol., 2009, vol. 5, pp. 10-11.
32. Moller A.M., Pedersen T., Svendsen P.E. et al. Perioperative risk factors in elective pneumonectomy: The impact of excess fluid balance. Eur. J. Anaesthesiol., 2002, vol. 19, pp. 57-62.
33. Murphy D.B., Cregg N., Trenblay L. et al. Adverse ventilatory strategy causes pulmonary-to-systemic translocation of endotoxine. Am. J. Respir. Crit. Care Med., 2000, vol. 162, pp. 27-33.
34. Murphy C.V., Schramm G.E., Doherty J.A. et al. The importance of fluid management in acute lung injury secondary to septic shock. Chest, 2009, vol. 136, pp. 102-109.
35. Payen D., de Pont A.C., Sakr Y. et al. Positive fluid balance is associated with a worse outcome in patients with acute renal failure. Crit. Care Med., 2008, vol. 12, pp. 74.
36. Rivers E., Nguyen B., Havstad S. et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock. N. Engl. J. of Transplant., 2001, vol. 345, pp. 1368-1377.
37. Sakr Y., Vincent J.L., Reinhart K. et al. High tidal volume and positive fluid balance are associated with worse outcome in acute lung injury. Chest, 2005, vol. 128, pp. 3098-3108.
38. Schuller D., Mitchell J.P., Calandrino F.S. et al. Fluid balance during pulmonary edema. Is fluid gain a marker or a cause of poor outcome? Chest, 1991, vol. 100, pp. 1068-1075.
39. Vaara S.T., Korhonen A.-M., Kaukonen K.-M. Fluid overload is associated with an increased risk for 90-day mortality in critically ill patients with renal replacement therapy: data from the prospective FINNAKI study. Crit. Care, 2012, vol. 16, pp. R197.
40. Vincent J.L., Sakr Y., Sprung C.L. et al. Sepsis in European Intensive Care Units: results of the SOAP study. Crit. Care Med., 2006, vol. 34, pp. 344-353.
Review
For citations:
Dats A.V., Gorbachev V.I. THE FLUID OVERLOAD: CAUSES, DIAGNOSIS, COMPLICATIONS, TREATMENT. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2015;12(3):65-73. (In Russ.) https://doi.org/10.21292/2078-5658-2015-12-3-65-73
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