Fluid management in critically ill patients: the role of extravascular lung water, abdominal hypertension, capillary leak, and fluid balance
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AuthorsColin Cordemans, Inneke De laet, Niels Van Regenmortel, Karen Schoonheydt, Hilde Dits, Wolfgang Huber, Manu LNG Malbrain
Capillary leak in critically ill patients leads to interstitial edema. Fluid overload is independently associated with poor prognosis. Bedside measurement of intra-abdominal pressure (IAP), extravascular lung water index (EVLWI), fluid balance, and capillary leak index (CLI) may provide a valuable prognostic tool in mechanically ventilated patients.