Effects of fluid balance on prognosis of acute respiratory distress syndrome patients secondary to sepsis
Yuming Wang
Abstract
BACKGROUND: Fluid management is crucial to acute respiratory distress syndrome (ARDS) secondary to sepsis. However, choices of fluid resuscitation strategies and fluid input volumes remain a thorny problem. Our study aimed to elucidate the relationship between fluid balance and prognosis of ARDS patients secondary to sepsis. METHODS: Our study included 322 sepsis patients from Ruijin Hospital between 2014 and 2018, and 84 patients were diagnosed as ARDS within 72 hours after onset of sepsis according to Berlin ARDS Definition. RESULTS: <0.05). CONCLUSIONS: Early negative fluid balance is independently associated with a better prognosis of sepsis patients complicated with ARDS.
Topics & Concepts
ARDSMedicineSepsisAcute respiratory distressMechanical ventilationRespiratory distressResuscitationBalance (ability)Internal medicineAnesthesiaLungPhysical therapySepsis Diagnosis and TreatmentRespiratory Support and MechanismsHemodynamic Monitoring and Therapy