Fluid Resuscitation: History, Physiology, and Modern Fluid Resuscitation Strategies

Emerg Med Clin North Am. 2020 Nov;38(4):783-793. doi: 10.1016/j.emc.2020.06.004. Epub 2020 Jul 21.

Abstract

Intravenous (IV) fluids are among the most common interventions performed in the emergency department. They are at times lifesaving, but if used recklessly can be harmful. Given their ubiquity, it is important to understand the history, physiology, and current strategies that govern the use of IV fluids during the resuscitation of the critically ill.

Keywords: Balanced solutions; Colloid; Crystalloid; Fluid administration; Fluid resuscitation.

Publication types

  • Historical Article
  • Review

MeSH terms

  • Colloids / therapeutic use
  • Coronary Circulation / physiology
  • Crystalloid Solutions / chemistry
  • Crystalloid Solutions / therapeutic use
  • Electrolytes / analysis
  • Emergency Service, Hospital
  • Fluid Therapy* / history
  • History, 19th Century
  • History, 20th Century
  • Humans
  • Resuscitation / methods*
  • Shock / physiopathology
  • Venous Pressure / physiology

Substances

  • Colloids
  • Crystalloid Solutions
  • Electrolytes