000008227 001__ 8227 000008227 005__ 20240408091033.0 000008227 0247_ $$2DOI$$a10.6083/4f16c3616 000008227 037__ $$aIR 000008227 041__ $$aeng 000008227 245__ $$aFluid creep in the PICU: characterizing fluid administration beyond maintenance fluids 000008227 260__ $$bOregon Health and Science University 000008227 269__ $$a2020 000008227 336__ $$aAbstract 000008227 520__ $$aCritically ill children receive fluids for multiple reasons including resuscitation, nutrition, and medications. However, while it is well established that fluid overload is associated with negative outcomes in critical care, it is challenging for clinicians to consider all fluid sources and adjust accordingly. Fluid creep refers to insidious IV fluid intake (medications, flushes, etc.) in excess of standard predicted maintenance fluid requirements (MFR). This phenomenon has been previously described in burn patients and adults, but is less clear among pediatric patients. We aimed to quantify fluids administered to patients admitted to a quaternary Pediatric Intensive Care Unit (PICU) in comparison to predicted MFR in order to quantify the association between fluid creep (FC) and fluid overload. 000008227 540__ $$fCC BY 000008227 542__ $$fIn copyright - joint owners 000008227 650__ $$aCritical Care$$017198 000008227 650__ $$aPediatrics$$023687 000008227 650__ $$aIntensive Care Units, Pediatric$$028283 000008227 650__ $$aFluid Therapy$$019108 000008227 6531_ $$afluid overload 000008227 6531_ $$afluid management 000008227 692__ $$aDoernbecher Children's Hospital$$041469 000008227 7001_ $$aRosen, Kate$$uOregon Health and Science University$$041354 000008227 7001_ $$aOrwoll, Benjamin$$uOregon Health and Science University$$041354 000008227 711__ $$aResearch Week$$uOregon Health and Science University$$d2020 000008227 8564_ $$932e583d5-a72f-41fa-8c8b-66f6a23f4c31$$s49498$$uhttps://digitalcollections.ohsu.edu/record/8227/files/Kate-Rosen.pdf 000008227 905__ $$a/rest/prod/4f/16/c3/61/4f16c3616 000008227 980__ $$aResearch Week