Home > Journals > Minerva Anestesiologica > Past Issues > Minerva Anestesiologica 2011 December;77(12) > Minerva Anestesiologica 2011 December;77(12):1190-6

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

MINERVA ANESTESIOLOGICA

A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care


Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
Indexed/Abstracted in: Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,036


eTOC

 

REVIEWS  


Minerva Anestesiologica 2011 December;77(12):1190-6

language: English

Type of fluid in severe sepsis and septic shock

Vincent J.-L. 1, Gottin L. 2

1 Department of Intensive Care, Erasme Hospital, Université Libre de Bruxelles, Bruxelles, Belgium;
2 Department of Anesthesiology and Intensive Care, University of Verona, Verona, Italy


FULL TEXT  


Fluid resuscitation is an essential aspect of the management of patients with severe sepsis and septic shock, especially in the early stages of disease. Which fluid should be used for this purpose has been a topic of ongoing and sometimes heated debate for many years, yet this is still little evidence to support one fluid over another. Each fluid type has specific adverse effects, and all fluids when given in excess can be detrimental. In this article, we will review the advantages and limitations of the key fluid types currently used for the resuscitation of critically ill patients with sepsis, including the crystalloids (saline solutions and Ringer’s lactate), and the colloids (albumin, gelatins, dextrans, and hydroxyethyl starches). We will then briefly summarize the limited evidence to support use of one fluid type over another, and provide general suggestions for fluid use in these patients.

top of page

Publication History

Cite this article as

Corresponding author e-mail

jlvincen@ulb.ac.be