Intravenous fluid therapy: Managing Critically ill patients in ICU

Intravenous fluid therapy is one of the most significant and common interventions in acutely and critically ill patients. The main indications are resuscitation, replacement and maintenance. The administration of Crystalloid fluids or Intravenous fluid therapy is mostly used as first-line therapy...

• Intravenous fluid administration, a common practice in acute and critical care, lacks robust efficacy investigations despite its established clinical use. Historically, a liberal approach prevailed due to beliefs about dehydration and edema, but now it's recognized that fluids are drugs requiring careful consideration. Practitioners are increasingly prioritizing impaired tissue perfusion and low cardiac output over mere abnormal vital signs as indications for fluid administration.