Fluid management is one of the regular aspects of care in pediatric intensive care unit (PICU) setting, and its importance has been stressed in previous studies. Fluid resuscitation, as part of fluid management, may be needed to maintain intravascular volume, and prior studies showed that early aggressive fluid resuscitation may improve outcome in critical illness, especially in endothelial-dysfunction associated conditions. Unfortunately, this routine management often leads to the development of positive fluid balance and, consequently, fluid overload. Many evidences have stated that excessive fluid administration is closely associated with negative effects for children who were admitted in PICU. Moreover, fluid balance before PICU admission is also important because uncertainty about quantification fluid balance before admission can lead to underestimated fluid overload.
Part of the book: Current Topics in Intensive Care Medicine