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Fluid Creep and Over-resuscitation
1University of Utah Health Center, PO Box 102, Lake Elmo, MN 55042, USA.
Critical Care Clinics
|September 8, 2016
Summary
Fluid creep, requiring more fluids than expected during burn resuscitation, is common and causes edema-related complications. Strategies for recognizing and treating this condition are presented to improve patient outcomes.
Area of Science:
- Burn resuscitation
- Trauma care
- Fluid management
Background:
- Fluid creep, defined as exceeding predicted fluid volumes in burn resuscitation, is a prevalent issue.
- This condition is associated with significant edema-related complications.
- Causes include overly permissive fluid infusion and inadequate colloid administration.
Purpose of the Study:
- To define fluid creep in the context of burn resuscitation.
- To highlight the complications associated with fluid creep.
- To present strategies for managing fluid creep.
Main Methods:
- Review of current literature on burn resuscitation and fluid management.
- Analysis of factors contributing to excessive fluid administration.
- Identification of clinical indicators for fluid creep.
Main Results:
- Fluid creep is frequently observed in clinical practice.
- Excessive fluid administration and lack of colloid contribute to dangerous fluid creep.
- Edema-related complications are a direct consequence of fluid creep.
Conclusions:
- Recognizing and managing fluid creep is crucial for preventing complications.
- Implementing specific strategies can mitigate the risks associated with fluid creep.
- Optimizing fluid resuscitation protocols is essential in burn care.
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