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Articles Published Processes
9/1/2014 10:21:00 AM | Browse: 1295 | Download: 1172
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Received |
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2013-06-06 20:20 |
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Peer-Review Started |
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2013-06-07 11:18 |
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To Make the First Decision |
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2013-07-19 08:49 |
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Return for Revision |
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2013-07-20 23:30 |
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Revised |
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Second Decision |
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2013-12-13 13:33 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2013-12-13 14:25 |
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Articles in Press |
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Publication Fee Transferred |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2014-01-26 16:48 |
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Publish the Manuscript Online |
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2014-02-16 13:23 |
Category |
Critical Care Medicine |
Manuscript Type |
Minireviews |
Article Title |
Controversies in fluid therapy: Type, dose and toxicity
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Manuscript Source |
Invited Manuscript |
All Author List |
Robert C McDermid, Karthik Raghunathan, Adam Romanovsky, Andrew D Shaw and Sean M Bagshaw |
Funding Agency and Grant Number |
Funding Agency |
Grant Number |
Canada Research Chair in Critical Care Nephrology |
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Clinical Investigator Award from Alberta Innovates-Health Solutions |
(to Bagshaw MS) |
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Corresponding Author |
Dr. Sean M Bagshaw, Division of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta, 3C1.12 Walter C. Mackenzie Centre, 8440-122 ST NW, Edmonton, AB T6G2B7, Canada. bagshaw@ualberta.ca |
Key Words |
Fluid therapy; Resuscitation; Critical illness; Peri-operative; Toxicity; Saline; Crystalloid; Colloid |
Core Tip |
Fluid therapy is exceedingly common in acutely ill patients; however, numerous questions on the efficacy and safety of fluid therapy in terms of the type and dose remain. Fluid therapy prescription is context-specific and any fluid type can be harmful if administered inappropriately. When considering crystalloids versus colloids, differences in efficacy are modest but the risk of kidney toxicity and bleeding complications with hydroxyethyl starch appear more significant. The differences in chloride load across crystalloid solutions appears to have physiologic and clinically important effects, in particular for contributing to hyperchloremic metabolic acidosis, kidney injury and greater utilization of renal replacement therapy associated with 0.9% saline. Fluid therapy should be viewed as analogous to the prescription of any drug in acutely ill patients. |
Publish Date |
2014-02-16 13:23 |
Citation |
McDermid RC, Raghunathan K, Romanovsky A, Shaw AD, Bagshaw SM. Controversies in fluid therapy: Type, dose and toxicity. World J Crit Care Med 2014; 3(1): 24-33 Available from: URL: http://www.wjgnet.com/2220-3141/full/v3/i1/24.htm DOI: http:// dx.doi.org/10.5492/wjccm.v3.i1.24 |
URL |
http://www.wjgnet.com/2220-3141/full/v3/i1/24.htm |
DOI |
http://dx.doi.org/10.5492/wjccm.v3.i1.24 |
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