Kidney and composition of infusion solutions.
Reason for caution

Czech version

Authors: Matějovič Martin
Authors‘ workplace: I. interní klinika, UK v Praze, LF v Plzni a FN Plzeň
Published in: Anest. intenziv. Med., 24, 2013, č. 3, s. 183-185
Category: Special article

Overview

Intravenous fluid therapy is one of the cornerstones of critical illness management. Surprisingly, only very recently findings have suggested that clinicians carefully consider the type, amount and rate of administration of the resuscitation fluids. Indeed, long-awaited studies have been published over the past 12 months, enabling the clinicians to make better decisions which solution to choose from the large menu on offer. This article is a brief commentary on the most recent studies demonstrating the distinct effects of intravenous fluids on the renal physiology and function in critical care and peri-operative medicine.

Keywords:
fluid therapy – critical care – renal physiology – peri-operative medicine

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