Ongoing fluid administration
While highly variable by case, patients in the ProCESS trial
usual care arm received an average of 4.3 ± 3.9 L of intravenous
fluid from hours 6 to 72 (after initial resuscitation).23
In resource-limited settings, use markers of hypoperfusion
such as hypotension, lactate clearance, and urine output (see
below) to guide the rate of fluid administration following the
initial resuscitation period. While variable, this may be in
excess of 8 L over the following 72 h.