Gil Ben-Horin
Published: Aug 16, 2017

A retrospective and observational study performed at Soroka Medical Center in Israel analysed the minute-to-minute urine flow rate (UFR) and its variability in hypotensive multiple trauma patients during the first 6 hours of their ICU stay, parameters that have not been previously reported. Clinical data were extracted from MetaVision. The authors suggest that UFR variability can serve as a reliable incipient marker of occult hypovolemia and also as an indicator of the end-point of blood volume resuscitation, and propose that it should be one of the parameters used to monitor the hemodynamic status of critically ill multiple trauma patients. Additionally, they suggest that that more comprehensive randomised and prospective studies should be undertaken to evaluate the potential clinical role of UFR variability and its influence on the ICU outcomes of multiple trauma patients.

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