TY  - GEN
N2  - Critically ill children receive fluids for multiple reasons including resuscitation, nutrition, and medications. However, while it is well established that fluid overload is associated with negative outcomes in critical care, it is challenging for clinicians to consider all fluid sources and adjust accordingly. Fluid creep refers to insidious IV fluid intake (medications, flushes, etc.) in excess of standard predicted maintenance fluid requirements (MFR). This phenomenon has been previously described in burn patients and adults, but is less clear among pediatric patients. We aimed to quantify fluids administered to patients admitted to a quaternary Pediatric Intensive Care Unit (PICU) in comparison to predicted MFR in order to quantify the association between fluid creep (FC) and fluid overload.
DO  - 10.6083/4f16c3616
DO  - DOI
AB  - Critically ill children receive fluids for multiple reasons including resuscitation, nutrition, and medications. However, while it is well established that fluid overload is associated with negative outcomes in critical care, it is challenging for clinicians to consider all fluid sources and adjust accordingly. Fluid creep refers to insidious IV fluid intake (medications, flushes, etc.) in excess of standard predicted maintenance fluid requirements (MFR). This phenomenon has been previously described in burn patients and adults, but is less clear among pediatric patients. We aimed to quantify fluids administered to patients admitted to a quaternary Pediatric Intensive Care Unit (PICU) in comparison to predicted MFR in order to quantify the association between fluid creep (FC) and fluid overload.
AD  - Oregon Health and Science University
AD  - Oregon Health and Science University
T1  - Fluid creep in the PICU: characterizing fluid administration beyond maintenance fluids
DA  - 2020
AU  - Rosen, Kate
AU  - Orwoll, Benjamin
L1  - https://digitalcollections.ohsu.edu/record/8227/files/Kate-Rosen.pdf
PB  - Oregon Health and Science University
LA  - eng
PY  - 2020
ID  - 8227
L4  - https://digitalcollections.ohsu.edu/record/8227/files/Kate-Rosen.pdf
KW  - Critical Care
KW  - Pediatrics
KW  - Intensive Care Units, Pediatric
KW  - Fluid Therapy
KW  - fluid overload
KW  - fluid management
TI  - Fluid creep in the PICU: characterizing fluid administration beyond maintenance fluids
Y1  - 2020
L2  - https://digitalcollections.ohsu.edu/record/8227/files/Kate-Rosen.pdf
LK  - https://digitalcollections.ohsu.edu/record/8227/files/Kate-Rosen.pdf
UR  - https://digitalcollections.ohsu.edu/record/8227/files/Kate-Rosen.pdf
ER  -