RT Book, Section
A1 Bersten, Andrew D.
A2 Tobin, Martin J.
SR Print(0)
ID 57081737
T1 Chapter 65. Fluid Management in the Ventilated Patient
T2 Principles and Practice of Mechanical Ventilation, 3e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-173626-8
LK accessmedicine.mhmedical.com/content.aspx?aid=57081737
RD 2024/04/19
AB Fluid  management  during  mechanical  ventilation  is  complicated  by  both  the  influence  of  positive-airway  pressure  on  normal  homeostatic  control  of  bodily  fluids,  and  the  interaction  of  mechanical  ventilation  with  fluid  status.  Hypovolemia  may  lead  to  hemodynamic  intolerance  of  positive-airway  pressure,  and  fluid  overload  may  result  in  both  impaired  gas  exchange  and  respiratory  mechanics  and  deleterious  systemic  effects.  In  patients  with  acute  lung  injury  (ALI)  and  the  acute  respiratory  distress  syndrome  (ARDS),  positive  fluid  balance  has  been  associated  with  both  fewer  ventilator-free  days,  and  longer  intensive  care  unit  (ICU)  stay,  and  with  mortality  in  prospective  randomized1  and  observational2  studies,  respectively.