UMEM Educational Pearls

Category: Critical Care

Title: sepsis, fluids, and ESRD

Keywords: sepsis, intravenous fluids, chronic kidney disease, end stage renal disease (PubMed Search)

Posted: 6/10/2008 by Amal Mattu, MD (Updated: 8/12/2020)
Click here to contact Amal Mattu, MD

Submitted on behalf of Dr. Winters:

Sepsis, Fluids, and ESRD
-ESRD patients are at increased risk of sepsis and bacteremia secondary to
indwelling devices
-Many of are hesitant to aggresively fluid resuscitate patients with ESRD
-Several studies have concluded that volume resuscitation should proceed the
same as patients without ESRD, even if that means more patients are eventually
intubated.

Reference:
Otero RM, et al. Chest 2006;130:1579-95.