Intended for healthcare professionals

Rapid response to:

Practice Guidelines

Intravenous fluid therapy for adults in hospital: summary of NICE guidance

BMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f7073 (Published 10 December 2013) Cite this as: BMJ 2013;347:f7073

Rapid Response:

Re: Intravenous fluid therapy for adults in hospital: summary of NICE guidance

I think this guideline may have a great impact on hospital care. The figure is also very useful and should be made readily and widely available for health care professionals.

Algorithm 4 recommends seeking expert help if necessary to estimate requirements. Unfortunately, establishing volemia of difficult patients is a real challenge even for skilled physicians who regularly deal with critical or unstable patients. We think transthoracic echocardiography can be a real help to do that by assessing inferior vena cava diameter as well as respiratory variations at bedside.

Competing interests: No competing interests

17 December 2013
Armando Sarti
Intensivist
Simone Cipani
Santa Maria Nuova Hospital, Azienda Sanitaria Firenze, Italy
Piazza Santa Maria Nuova 1, 50123 Firenze, Italy