Fluids are the cornerstone of therapy in all critically ill patients. During the last decades, we have made many steps to get fluid therapy personalized and based on individual needs. In patients with lung involvement-acute respiratory distress syndrome-finding the right amount of fluids after lung surgery may be extremely important because lung tissue is one of the most vulnerable to fluid accumulation. In the current narrative review, we focus on the actual perspectives of fluid therapy with the aim of showing the possibilities to tailor the treatment to a patient's individual needs using fluid responsiveness parameters and other therapeutic modalities.

Biomedical Centre Faculty of Medicine in Plzen Charles University 32300 Plzen Czech Republic

Department of Anesthesiology and Intensive Care Medicine Faculty of Medicine in Plzen Charles University 32300 Plzen Czech Republic

Department of Anesthesiology and Intensive Care Medicine University Hospital in Plzen 32300 Plzeň Czech Republic

Fachkrankenhaus Coswig GmbH Zentrum für Pneumologie Allergologie Beatmungsmedizin Thoraxchirurgie 01640 Coswig Germany

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