Hemodynamics, fluids & transfusion
The time cost of physiologically ineffective intravenous fluids in the emergency department: an observational pilot study employing wearable Doppler ultrasound
Authors' conclusion
A clinically significant amount of time was spent providing physiologically ineffective IV fluid.
Study context
- Population
- Adult emergency department (ED) patients in whom preload expansion was indicated for any reasonPreload challenge (PCs) in 51 patients
- Participants
- 86 patients
- Exposure
- Physiologically effective vs ineffective intravenous (IV) fluid
- Effectiven = 54
- Ineffectiven = 32reference
- Outcome
- Time spent in the ED providing IV fluid categorized as 'ineffective'
Methodological detailsconvenience sample, wearable Doppler ultrasound, clinician blinded to ultrasound results
- Convenience sample
- Wearable Doppler ultrasound
- Clinician blinded to ultrasound results
Main finding
As reported in the abstract
Time spent providing ineffective IV fluid
Total hours across all 51 patients spent providing ineffective IV fluid
29.75
Observational data: associations, not effects.
Further findings
Fluid responsiveness per preload challenge (86 PCs, 81.7 L)
IV fluid volume Effective 51.7 L · Ineffective 30 L
- Fluid responsiveness per preload challenge (86 PCs, 81.7 L) — Carotid Doppler cardiac cycles analysed
- 19,667
Original publication
The time cost of physiologically ineffective intravenous fluids in the emergency department: an observational pilot study employing wearable Doppler ultrasound. J Intensive Care. Published 15 February 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →