Impact of protocolized diuresis for de-resuscitation in the intensive care unit.

ABSTRACT:

Objective

Administration of diuretics has been shown to assist fluid management and improve clinical outcomes in the critically ill post-shock resolution. Current guidelines have not yet included standardization or guidance for diuretic-based de-resuscitation in critically ill patients. This study aimed to evaluate the impact of a multi-disciplinary protocol for diuresis-guided de-resuscitation in the critically ill.

Methods

This was a pre-post single-center pilot study within the medical intensive care unit (ICU) of a large academic medical center. Adult patients admitted to the Medical ICU receiving mechanical ventilation with either (1) clinical signs of volume overload via chest radiography or physical exam or (2) any cumulative fluid balance ≥ 0 mL since hospital admiss

SUBMITTER: Bissell BD 

PROVIDER: S-EPMC7048112 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature