Fluid Resuscitation: History, Physiology, and Modern Fluid Resuscitation Strategies

David Gordon; Rory Spiegel

doi:10.1016/j.emc.2020.06.004

Fluid Resuscitation: History, Physiology, and Modern Fluid Resuscitation Strategies

Emerg Med Clin North Am. 2020 Nov;38(4):783-793. doi: 10.1016/j.emc.2020.06.004. Epub 2020 Jul 21.

Authors

David Gordon¹, Rory Spiegel²

Affiliations

¹ Department of Medicine, University of Maryland Medical Center, 110 South Paca Pratt Street, Baltimore, MD 21201, USA.
² Attending Emergency Medicine, Georgetown University Hospital, Washington Hospital Center, Faculty Critical Care, 110 Irving Street, East Building Room 3124, Washington, DC 20010, USA. Electronic address: Rory.j.Spiegel@medstar.net.

PMID: 32981617
DOI: 10.1016/j.emc.2020.06.004

Abstract

Intravenous (IV) fluids are among the most common interventions performed in the emergency department. They are at times lifesaving, but if used recklessly can be harmful. Given their ubiquity, it is important to understand the history, physiology, and current strategies that govern the use of IV fluids during the resuscitation of the critically ill.

Keywords: Balanced solutions; Colloid; Crystalloid; Fluid administration; Fluid resuscitation.

Publication types

Historical Article
Review

MeSH terms

Colloids / therapeutic use
Coronary Circulation / physiology
Crystalloid Solutions / chemistry
Crystalloid Solutions / therapeutic use
Electrolytes / analysis
Emergency Service, Hospital
Fluid Therapy* / history
History, 19th Century
History, 20th Century
Humans
Resuscitation / methods*
Shock / physiopathology
Venous Pressure / physiology

Substances

Colloids
Crystalloid Solutions
Electrolytes