Other CE Offerings – Including Pharmacology

Fluid Responsiveness and the Six Pillars of Fluid Resuscitation

Fluid resuscitation is a vital element in acute care. Since the advent of early goal-directed therapy, there has been an emphasis on aggressive fluid resuscitation in patients with shock. However, there is great variability in practice regarding fluid challenges (FCs), leading to under- or over-hydration of the compromised patient. Such decisions can potentially have a detrimental impact on patient outcomes.

This session reviews the concepts of fluid responsiveness by utilizing six evidence-based principles to guide effective resuscitation. Included is a discussion of the use of chest x-ray, central venous pressure, and ultrasound as marginal indicators of fluid status. The session also discusses how passive leg raising and the use of noninvasive cardiac output monitoring can offer more accurate information.

The acute care provider requires knowledge that response to FC is short lived, and the response does not necessarily equate to the need for additional fluid. This session provides insight to the science of effective resuscitation in the acutely ill.