["Intravascular space contracted-tissue space expanded": interstitial edema and fluid management in intensive care medicine]. / "Intravasal trocken Gewebe voll": interstitielles Ödem und Volumenmanagement in der Intensivmedizin.
Med Klin Intensivmed Notfmed
; 116(8): 665-671, 2021 Nov.
Article
in De
| MEDLINE
| ID: mdl-34605939
ABSTRACT
In the second phase of shock therapy, we regularly find fluid overload with edema in our patients, which not only involves the skin and interstitial tissue but can also impair kidney, liver and pulmonary function. Revision of the Starling principle and new insights into physiology of the endothelial glycocalyx have important implications for fluid therapy in intensive care medicine. Determination of fluid overload and an appropriate therapy with either diuretics or ultrafiltration are the focus of "late goal-directed fluid removal" management.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Critical Care
/
Fluid Therapy
Limits:
Humans
Language:
De
Journal:
Med Klin Intensivmed Notfmed
Year:
2021
Document type:
Article