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The emerging concept of fluid tolerance: A position paper
Eduardo Kattan1, Ricardo Castro1, Francisco Miralles-Aguiar2
1Departamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad Católica de Chile, Chile.
Journal of Critical Care
|June 6, 2022
Summary
Assessing patient tolerance to fluid resuscitation is crucial in emergency medicine. This review defines fluid tolerance and outlines clinical signs for physicians to evaluate it, promoting further research.
Area of Science:
- Emergency Medicine
- Critical Care Medicine
- Physiology
Background:
- Fluid resuscitation is a cornerstone of emergency and critical care.
- Current clinical focus is primarily on fluid responsiveness, not tolerance.
- Limited research exists on assessing a patient's tolerance to fluid therapy.
Purpose of the Study:
- To review the concept of fluid tolerance.
- To propose a working definition for fluid tolerance.
- To introduce clinical signals for assessing fluid tolerance.
Main Methods:
- Literature review of fluid resuscitation and tolerance.
- Conceptual analysis of fluid tolerance.
- Identification of clinical indicators for fluid tolerance assessment.
Main Results:
- The concept of fluid tolerance is underexplored in clinical practice.
- A working definition for fluid tolerance is proposed.
- Key clinical signals for assessing fluid tolerance are identified.
Conclusions:
- Further research into fluid tolerance is warranted.
- Standardized assessment of fluid tolerance can improve patient care.
- This work provides a foundation for future studies on fluid tolerance.
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