Intravenous fluids: effects on renal outcomes. (February 2018)

• Record Type: Journal Article
• Authors: McLean, D.J.; Shaw, A.D.
• Is Part Of: British journal of anaesthesia. Volume 120:Number 2(2018)
• Page Start: 397
• Page End: 402
• Publication Date: 2018-02
• Subjects: colloids -- critical care -- crystalloids -- goal-directed fluid therapy -- peri-operative -- renal insufficiency -- resuscitation; Anesthesiology -- Periodicals; Anesthesia -- Periodicals; 617.9605
• DOI: 10.1016/j.bja.2017.11.090
• Languages: English
• ISSNs: 0007-0912

Abstract

Abstract: Intravenous fluid therapy is the most commonly prescribed inpatient medication in hospitals around the world. Intravenous fluids are drugs and have an indication, a dose, and expected and unintended effects. The type and amount of fluid given to patients are both important, and can either hasten or slow recovery depending on how they are administered. This narrative review provides a brief summary of the effect of intravenous fluid administration on kidney function and on renal outcome measures of relevance to both patients and clinicians. Several large clinical trials of fluid therapy are currently underway, the results of which are likely to change clinical practice.