Fluid responsiveness: an evolution in our understanding

Fluid therapy is a central tenet of both anaesthetic and intensive care practice, and has been a solid performer in the medical armamentarium for over 150 years. However, mounting evidence from both surgical and medical populations is starting to demonstrate that we may be doing more harm than good by infusing solutions of varying tonicity and pH into the arms of our patients. As anaesthetists we arguably monitor our patient's response to fluid-based interventions more closely than most, but in emergency departments and on intensive care units this monitoring me be unavailable or misleading. For this podcast Dr Paul Marik, Professor and Division Chief of Pulmonary Critical Care at Eastern Virginia Medical Center delivers a masterclass on the physiology of fluid optimisation, tells us which monitors to believe and importantly under which circumstances, and reviews some of the current literature and thinking on fluid responsiveness.

You can listen to Fluid responsiveness: an evolution in our understanding online on Radio and Podcast. Open the player on this page to stream the available audio.

Fluid responsiveness: an evolution in our understanding is an episode from BJA: British Journal of Anaesthesia by Oxford University Press.

This episode is 43:08 long.

This episode was published on Mar 27, 2014.

Yes. Use the heart button on the episode page to add it to your favorite episodes list.

Yes. This page shows related episodes from BJA: British Journal of Anaesthesia when more episodes are available from the podcast feed.