What does 'fluid creep' refer to in a clinical setting?

In a clinical setting, 'fluid creep' refers to the phenomenon of fluid retention that occurs post-burn as a result of over-resuscitation. When patients suffer from burns, the body experiences significant fluid loss due to increased permeability of blood vessels and damage to skin integrity. To manage this, aggressive fluid resuscitation is often implemented to restore circulating volume and prevent shock.

However, if too much fluid is administered, it can lead to complications such as fluid creep, where excess fluids accumulate in the interstitial spaces rather than remaining in the vascular system. This can result in edema and increased pressure on tissues, potentially impairing healing and causing further complications. Recognizing fluid creep is crucial for burn care practitioners to adjust fluid management strategies, thereby optimizing the patient's recovery and outcomes.