Volume : 12, Issue : 03, March – 2025

Title:

THE ROLE OF FLUID MANAGEMENT IN EXTREMELY ILL PATIENTS: ANALYZE OUT THE FLUID REANIMATION, MAINTENANCE, AND DE-ANIMATION STRATEGIES INFLUENCE ORGAN FUNCTION, SEPSIS OUTCOMES, AND RATE OF MORTALITY IN THE ICU

Authors :

Dr Fareedullah, Dr.Rabia Bibi, Hajra Ali Khan, Dr Aleeza Amir, Muhammad Fahad Khaliq, Dr Lubaba Tahir

Abstract :

Background: Fluid management is a keystone of evaluative care, with other strategies includes fluid reanimation, its maintenance, and de-animation which is being employed and helps to support hemodynamic solidity and other organic functions. Moreover, the optimal balance and time management of several approaches may remain the disputed, which is particularly in patients with blood poisoning and other multi-organic dysfunction.
Aim: This study analyzes out the impact of fluid reanimation, it’s maintenance, and de-animation of organic function, outcomes of blood poisoning, and its overall rate of mortality in the intensive care unit or ICU.
Methods: A comprehensive study of clinical trials, associate studies, and several guidelines may publish out between 2005 and 2020. These studies were focusing out the fluid strategies in blood poisoning and severely ill ICU patients were on first priority. Key points which were measured includes its organic functional scores, occurrence of acute kidney injury or AKI, days of ICU stays, and its mortality rate.
Results: Aggressively early fluid Reanimation may improve out the short-term hemodynamic breakdowns and it also reduce the early mortality rate in septic shocks. Moreover, the excessive fluid collection which is associated with worse organic functions, higher the incidence of AKI, long ICU stays, and high rate of mortality. Convene maintenance and guide lines in de-reanimation strategies may show the promises in the improvement of its long-term outcomes.
Conclusion: A personalized dynamic approaches to the fluid management which may evolves out the patient’s clinical courses which offers the best balance among restoring suffuse and may avoid the overburden of fluid. Ongoing trials often goes to the further refinement in these strategies.
Keywords: reanimation, maintenance, personalized, treatments.

Cite This Article:

Please cite this article in press Dr Fareedullah et al., The Role Of Fluid Management In Extremely Ill Patients: Analyze Out The Fluid Reanimation, Maintenance, And De-Animation Strategies Influence Organ Function, Sepsis Outcomes, And Rate Of Mortality In The ICU., Indo Am. J. P. Sci, 2025; 12(05).

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References:

1. Braun, G. (2024). Anthropocentrism and Inheritance in Our Mutual Friend: Return, Recognition, Reanimation. Victorians Institute Journal, 51, 114-142.
2. Taylor, B., Appelros, E., Ståhle, G., Harvey, G., Markussen, H., Brissman, I., … & Makeeff, T. T. (2024). Handbook of Rituals in Contemporary Studies of Religion.
3. Venters, S. A. (2021). The (Im) mediate Animal: Interspecies Entanglements in Early Enlightenment Transactions (Doctoral dissertation).
4. Arabi, Y. M., Belley-Cote, E., Carsetti, A., De Backer, D., Donadello, K., Juffermans, N. P., … & European Society of Intensive Care Medicine. (2024). European Society of Intensive Care Medicine clinical practice guideline on fluid therapy in adult critically ill patients. Part 1: the choice of resuscitation fluids. Intensive Care Medicine, 50(6), 813-831.
5. White, K. C., Laupland, K. B., Ostermann, M., Neto, A. S., Gatton, M. L., Hurford, R., … & Bellomo, R. (2024). Current fluid management practice in critically ill adults on continuous renal replacement therapy: a binational, observational study. Blood Purification, 53(8), 624-633.
6. Karunarathna, I., Jayawardana, A., & Bandara, S. (2024). The importance of monitoring blood lactate levels in critically ill patients: A focus on hyperlactatemia and resuscitation protocols.[ResearchGate].
7. Brossier, D. W., Goyer, I., Verbruggen, S. C., Chaparro, C. J., Rooze, S., Marino, L. V., … & Valla, F. V. (2024). Intravenous maintenance fluid therapy in acutely and critically ill children: state of the evidence. The Lancet Child & Adolescent Health, 8(3), 236-244.
8. Pfortmueller, C. A., Dabrowski, W., Wise, R., Van Regenmortel, N., & Malbrain, M. L. (2024). Fluid accumulation syndrome in sepsis and septic shock: pathophysiology, relevance and treatment—a comprehensive review. Annals of intensive care, 14(1), 115.
9. Coeckelenbergh, S., Vincent, J. L., Duranteau, J., Joosten, A., & Rinehart, J. (2024). Perioperative fluid and vasopressor therapy in 2050: from experimental medicine to personalization through automation. Anesthesia & Analgesia, 138(2), 284-294.
10. Nelakuditi, M., & Bawankule, S. (2025). Evaluating the impact of early vs. late vasopressor use on outcomes in sepsis patients: A systematic review. Multidisciplinary Reviews, 8(8), 2025249-2025249.
11. Vidanapathirana, M. (2024). Dengue haemorrhagic fever in chronic kidney disease and heart failure: challenges in fluid management. Tropical Medicine and Health, 52(1), 33.
12. Messina, A., Albini, M., Samuelli, N., Brunati, A., Costantini, E., Lionetti, G., … & Cecconi, M. (2024). Fluid boluses and infusions in the early phase of resuscitation from septic shock and sepsis-induced hypotension: a retrospective report and outcome analysis from a tertiary hospital. Annals of Intensive Care, 14(1), 123.
13. Chaves, R. C. D. F., Barbas, C. S. V., Queiroz, V. N. F., Serpa Neto, A., Deliberato, R. O., Pereira, A. J., … & Corrêa, T. D. (2024). Assessment of fluid responsiveness using pulse pressure variation, stroke volume variation, plethysmographic variability index, central venous pressure, and inferior vena cava variation in patients undergoing mechanical ventilation: a systematic review and meta-analysis. Critical Care, 28(1), 289.
14. Sartelli, M., Tascini, C., Coccolini, F., Dellai, F., Ansaloni, L., Antonelli, M., … & Viale, P. (2024). Management of intra-abdominal infections: recommendations by the Italian council for the optimization of antimicrobial use. World Journal of Emergency Surgery, 19(1), 23.