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- Vrsta/tip rada: Originalni naučni rad
- PREGLEDAJTE RAD
- PREUZMITE RAD
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- 32 pregleda
- 87 puta preuzet
Abstract
Introduction. Fluid creep refers to intravenous fluids used in every critically ill patient as part of routine care, including flu ids administered as vehicles for medication or electrolytes, or small volumes used to keep venous lines open. It represents an additional and often unrecognised source of fluid and electrolyte load. We aimed to quantify and characterise fluid creep in our surgical Intensive Care Unit and determine its contribution to water, sodium, and chloride burden.
Material and Methods. This prospective observational study was conducted at the University Clinical Center of Vojvodina over 60 days. A total of 53 patients undergoing elective surgery and requiring at least 48 hours of postoperative intensive care were included. Daily fluid creep volume and composition were recorded, and the electrolyte load was calculated using manufacturer-reported sodium and chloride concentrations.
Results. The only fluid used for fluid creep was 0.9% sodium chloride. Fluid creep accounted for 19% of total daily fluid volume on postoperative day 0 and 24% on postoperative day 1. Its contribution to total sodium and chloride load increased from 17% to 30%. After 48 hours, B-lines on lung ultrasound and peripheral oedema were observed in 51% of patients.
Conclusion. Fluids used as drug vehicles represent a substantial proportion of total intravenous fluid administration and significantly contribute to sodium and chloride load. Recognition of fluid creep may improve fluid management in postoperative intensive care patients.