Fluid balance

1. Clinician decision making

1.1. Other methods of fluid assessment

1.1.1. Filling pressures

1.1.2. physical assessment

1.1.3. Vasopressor requirement

1.1.4. arterial line swing

1.1.5. lactate

1.1.6. cardiac index studies

1.2. method of fluid balance assessment

1.2.1. Daily weight differences

1.2.2. Fluid balance chart cumulative totals

2. Positive balance

2.1. Longer ventilation time

2.2. Longer ICU stay

2.3. Increased mortality and morbidity

3. Poor fluid de-resuscitation

3.1. Patient factors inhibiting adequate fluid removal

3.1.1. Ongoing instability

4. Contributing Factors

5. method of fluid removal

5.1. Poor kidney function

5.1.1. Continuous renal replacement therapy

5.2. Adequate kidney function

5.2.1. Self diuresis

5.2.2. Drug induced diuresis

6. Negative balance

6.1. More survivors

6.2. Reduced ventilator time

6.3. Reduced ICU stay

7. Successful fluid de-resuscitation