Hemodynamics, fluids & transfusion
European Society of Intensive Care Medicine Clinical Practice Guideline on fluid therapy in adult critically ill patients: Part 3—fluid removal at de-escalation phase
Methodological detailsGRADE methodology
- GRADE methodology
Recommendations
As issued by the authors
- conditional; low certainty evidence
Suggest de-escalation of fluid therapy over no de-escalation in critically ill adults after the acute phase of fluid resuscitation
- conditional; moderate certainty evidence
Suggest protocolized fluid removal by diuretics over usual care in critically ill patients after the acute phase of fluid resuscitation
- conditional; low certainty evidence
Against routine use of ultrafiltration or extracorporeal fluid removal in critically ill adults after the acute phase of fluid resuscitation, without other indication for RRT
Original publication
European Society of Intensive Care Medicine Clinical Practice Guideline on fluid therapy in adult critically ill patients: Part 3—fluid removal at de-escalation phase. Intensive Care Med. Published 19 August 2025. doi:10.
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