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Flüssigkeitsersatz bei kritisch kranken Patienten

Balancierte kristalloide vs. salinische Lösungen
  • U. Janssens
Journal Club

Originalpublikation

Semler MW, Self WH, Wanderer JP, Ehrenfeld JM, Wang L, Byrne DW, Stollings JL, Kumar AB, Hughes CG, Hernandez A, Guillamondegui OD, May AK, Weavind L, Casey JD, Siew ED, Shaw AD, Bernard GR, Rice TW, SMART Investigators and the Pragmatic Critical Care Research Group (2018) Balanced crystalloids versus saline in critically ill adults. N Engl J Med 378(9):829–839.  https://doi.org/10.1056/NEJMoa1711584

Die klinische Entscheidung zur intravenösen Gabe von Flüssigkeiten ist gefolgt von der Entscheidung über Art und Menge der zuzuführenden Infusionsflüssigkeiten. Als Flüssigkeitsersatz wird der Ausgleich von Verlusten aus dem Interstitium und ggf. dem Intrazellularraum bezeichnet. Der Volumenersatz dient dem Ersatz an intravasalem Volumen zur Vermeidung einer Hypovolämie. Kristalloide Lösungen verteilen sich gleichmäßig auf den Intravasalraum und das Interstitium, sodass sie sowohl dem Flüssigkeitsersatz als auch dem Volumenersatz dienen [1].

Wie jedes andere Medikament,...

Fluid resuscitation in adults

Balanced crystalloids vs. saline

Notes

Interessenkonflikt

U. Janssens gibt an, dass kein Interessenkonflikt besteht.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2018

Authors and Affiliations

  1. 1.Klinik für Innere MedizinSt.-Antonius-HospitalEschweilerDeutschland

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