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Updated: Oct 29, 2025

Bedside Ultrasound for Guiding Fluid Removal in Patients with Pulmonary Edema: The Reverse-FALLS Protocol
Published on: July 28, 2018
Risks and Benefits of Fluid Administration as Assessed by Ultrasound
Scott J Millington1, Katie Wiskar2, Hailey Hobbs3
1University of Ottawa/The Ottawa Hospital, Ottawa, ON, Canada.
Abstract:
For patients in shock, decisions regarding administering or withholding IV fluids are both difficult and important. Although a strategy of relatively liberal fluid administration has traditionally been popular, recent trial results suggest that moving to a more fluid-restrictive approach may be prudent. The goal of this article was to outline how whole-body point-of-care ultrasound can help clarify both the possible benefits and the potential risks of fluid administration, aiding in the risk/benefit calculations that should always accompany fluid-related decisions.
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