Thanks so much @avkwong and @Manu_Malbrain for their concise and powerful talks on the dangers of fluid overload (or better named fluid accumulation syndrome) - associated with death, affecting every organ system. #IFAD2021 #FOAMed #FOAMcc
Infographic via @hughgifford Image
Keep in mind the deleterious effects of fluid overload and fluid accumulation syndrome on cardiovascular function #IFAD2021 via @Manu_Malbrain
@azJanPalfijn Image
Keep in mind the deleterious effects of fluid overload and fluid accumulation syndrome on renal function #IFAD2021 via @Manu_Malbrain @azJanPalfijn Image
Keep in mind the deleterious effects of fluid overload and fluid accumulation syndrome on respiratory function (especially in #COVID19) #IFAD2021 #FOAMed #FOAMcc via @Manu_Malbrain @azJanPalfijn Image
Keep in mind the deleterious effects of fluid overload and fluid accumulation syndrome on central nervous system #IFAD2021 #FOAMed #FOAMcc via @Manu_Malbrain @azJanPalfijn Image
Keep in mind the deleterious effects of fluid overload and fluid accumulation syndrome on the gastro-intestinal system #IFAD2021 #FOAMed #FOAMcc via @Manu_Malbrain @azJanPalfijn Image
Fluid overload is associated to end-organ dysfunction and failure
GIPS = global increased permeability syndrome = positive cumulative fluid balance + new onset organ failure (IAP, P/F, EVLWI, PVPI, BIA)
Culprit = venous congestion
#IFAD2021 via @Manu_Malbrain @azJanPalfijn Image

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More from @Fluid_Academy

6 Dec
Do we need maintenance fluids at all? What is your preferred maintenance fluid solution?
#IFAD2021 #FOAMed #FOAMcc

REPOSITORY (access 100+ lectures): whova.com/portal/webapp/…

@avkwong - @Manu_Malbrain - @azJanPalfijn - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @iceman_ex
When do you use (hypotonic) albumin 4% solutions?

#IFAD2021 #FOAMed #FOAMcc
REPOSITORY (access 100+ lectures): whova.com/portal/webapp/…
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19 Mar 20
Must read for every-one guidance from China on #COVID19 #COVID19BE diagnosis management and treatment from Prof. Tingbo LIANG Editor-in-Chief : how to screen for suspected COVID ImageImage
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10 Mar 20
@jasonvanschoor Dear Jason. Thank you for this excellent thread. We are preparing ourselves @UZBrussel I would like to add some treatment recommendations on #COVID19 #COVID19BE from #paolo_pelosi in the following tweets:
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2/ if saturation less than 95 or paO2/FiO2 less than 200 with/without RR higher than 25-30 breaths/min at FiO2 60% with CPAP by NIV (helmet preferred) after 15-30 min - intubate immediately
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3 Apr 19
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fluid challenge
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EEO
recruitment maneuver
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22 Mar 19
The question is: How to achieve the right balance
not too much
not too little
just enough
excellent talk by #NateShapiro
#ISICEM19
How do we currently assess therapeutic response to fluids
#ISICEM19
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Bottom line: mortality increases with too little or too much fluids
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16 Mar 19
Assessment of Fluid Overload and Hypervolemia (1/8)

Clinical assessment and signs for #FO are aspecific and unreliable:
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Biochemical Assessment for #FO is aspecific and unreliable:
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Radiological and #POCUS imaging and signs for #FO are aspecific and unreliable:
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