Fluid Creep and Over-resuscitation

Crit Care Clin. 2016 Oct;32(4):587-98. doi: 10.1016/j.ccc.2016.06.007. Epub 2016 Aug 2.


Fluid creep is the term applied to a burn resuscitation, which requires more fluid than predicted by standard formulas. Fluid creep is common today and is linked to several serious edema-related complications. Increased fluid requirements may accompany the appropriate resuscitation of massive injuries but dangerous fluid creep is also caused by overly permissive fluid infusion and the lack of colloid supplementation. Several strategies for recognizing and treating fluid creep are presented.

Keywords: Burns; Colloid; Fluid creep; Fluid resuscitation.

Publication types

  • Review

MeSH terms

  • Burns / therapy*
  • Colloids / therapeutic use
  • Fluid Therapy / adverse effects*
  • Humans
  • Rehydration Solutions / administration & dosage*
  • Resuscitation / adverse effects*


  • Colloids
  • Rehydration Solutions