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The Sepsis Text pp 389–400Cite as

Fluid Administration

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Conclusion

Despite the plethora of physiological monitoring commonly available in the ICU there remain some challenges in the avoidance of hypovolemia in sepsis. Interpretation of physiological data assumes a reference point of normality or acceptability. Normality is a statistical concept from which ‘acceptable’ cannot be derived for the individual. Avoiding hypovolemia in sepsis requires a high degree of suspicion and a ‘try it and see’ approach with corrective treatment. The fluid challenge approach provides a safe method of confirming or refuting the diagnosis while titrating appropriate volume replacement.

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Authors
  1. Andrew R Webb
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Editor information

Editors and Affiliations

  1. Department of Intensive Care, Erasme University Hospital, Brussels, Belgium

    Jean-Louis Vincent M.D.

  2. Service de Réanimation Polyvalente, Hôpital Saint-Joseph, Paris, France

    Jean Carlet M.D.

  3. Division of Infectious Diseases, The Memorial Hospital of Rhode Island, Pawtucket, RI

    Steven M. Opal M.D.

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© 2002 Kluwer Academic Publishers

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Webb, A.R. (2002). Fluid Administration. In: Vincent, JL., Carlet, J., Opal, S.M. (eds) The Sepsis Text. Springer, Boston, MA. https://doi.org/10.1007/0-306-47664-9_22

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  • DOI: https://doi.org/10.1007/0-306-47664-9_22

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-7923-7620-0

  • Online ISBN: 978-0-306-47664-8

  • eBook Packages: Springer Book Archive

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