Evidence map›Paper›PMID 41943762›Full record

ReviewCureus2026

The Physiology, Pathophysiology, and Clinical Implications of Fluid Resuscitation in Critically Ill Patients.

Akram M Eraky, Yasser Mokhtar, Adnan Khan, Amr Farag, Sondos Elawany, Walaa Alsabbagh, Alisha Wright, Mostafa Alamrosy

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Akram M ErakyDepartment of Emergency Medicine, Freeman Health System, Joplin, USA.
Yasser MokhtarDepartment of Critical Care Medicine, Freeman Health System, Joplin, USA.
Adnan KhanDepartment of Critical Care Medicine, Freeman Health System, Joplin, USA.
Amr FaragDepartment of Anesthesiology and Critical Care Medicine, University Hospitals Birmingham NHS Foundation Trust, Birmingham, GBR.
Sondos ElawanyDepartment of Emergency Medicine, University Hospitals Birmingham NHS Foundation Trust, Birmingham, GBR.
Walaa AlsabbaghDepartment of Internal Medicine, Northern General Hospital, Sheffield, GBR.
Alisha WrightDepartment of Emergency Medicine, Freeman Health System, Joplin, USA.
Mostafa AlamrosyCardiology and Angiology Unit, Department of Clinical and Experimental Internal Medicine, Medical Research Institute, Alexandria University, Alexandria, EGY.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

One of the most common interventions in the ED and ICU to restore physiologic homeostasis is fluid administration. It is essential for the intensivists and ED physicians to be aware of the physiological characteristics of different fluids and the potential harm associated with their use. In this article, we explore the physiology and pathophysiology of fluid administration in humans, emphasizing how fluid administration can alter acid-base balance, perfusion, osmotic and oncotic pressures, immunologic and inflammatory responses, and hemodynamics. We also discuss fluid resuscitation strategies across common clinical scenarios, such as septic shock, diabetic ketoacidosis, rhabdomyolysis, acute pancreatitis, and acute brain injury. The most recent guidelines, clinical trials, and observational studies on fluid resuscitation were discussed and critically analyzed. We also discussed fluid management in high-risk populations, such as patients with end-stage renal disease or congestive heart failure, who are particularly susceptible to hypervolemia.

Indexed as

colloidscrystalloidsdkafluid resuscitationhypervolemialactated ringernormal salinerhabdomyolysissepsisshock

Identifiers

PMID41943762
PMCPMC13050322

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.