Decision making regarding fluid volume loading, fluid
restriction, or administration of vasoactive drugs may vary among
physicians, depending solely upon their clinical experience in the
absence of evidence-based measurement. The initial distribution
volume of glucose (IDVG) is believed to be clinically relevant as a
marker of cardiovascular and fluid management in critically ill
patients without a significant modification of glucose metabolism.
This book covers all aspects of IDVG measurement, including the
basic concept, its relationship with other fluid volumes, and the
clinical application of this technique in the intensive care unit
based on both the authors studies and their clinical experience
with more than 4000 IDVG determinations. When the concept of IDVG
is properly understood and its measurement is then performed
routinely, daily fluid and cardiovascular management in critically
ill patients can be improved based on evidence-based
measurement."
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