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