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Nov 20, 2022 33 tweets 92 min read Read on X
Do we need maintenance fluids at all? What is your preferred maintenance solution?
#IFAD2022 #FOAMed #FOAMcc

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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex
Fluid balance is an overrated and obsolete concept 👉What is best way to monitor fluid overload?
#IFAD2022 #FOAMed #FOAMcc
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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap
Awareness/knowledge on correct fluid prescription by doctors is poor?
#IFAD2022 #FOAMed #FOAMcc

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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex - @Thom_Langer
What is the best KPI (key performance indicator) to measure success fluid stewardship?
#IFAD2022 #FOAMed #FOAMcc
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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex
The macrocirculation is more important than the microcirculation?
#IFAD2022 #FOAMed #FOAMcc

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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex - @Thom_Langer
What is your opinion on human factors (HF) + non-technical skills (NTS)?
#IFAD2022 #FOAMed #FOAMcc
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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex - @Thom_Langer
What type of future fluid trials do we need?
Real world data (RWD)?
#IFAD2022 #FOAMed #FOAMcc

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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex - @Thom_Langer

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More from @Fluid_Academy

Nov 29, 2023
Mark Van Iperen kicks of 2nd hemodynamic simulation course at ⁦@GetingeGlobal⁩ academy in Frankfurt on pathophysiology of shock ⁦@Manu_Malbrain⁩ #IFAD2023 Image
Interesting formula to calculate mean systemic filling pressure

Driving pressure = MSFP - CVP

#IFAD2023 Image
Venous return at the bedside
Including MSFP to differentiate between different shock types #IFAD2023 Image
Read 5 tweets
Dec 6, 2021
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/…
@avkwong - @Manu_Malbrain - @azJanPalfijn - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @iceman_ex - @icmteaching - @Gas_Craic
Read 30 tweets
Dec 3, 2021
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
Read 7 tweets
Mar 19, 2020
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
Must read for every-one guidance from China on #COVID19 #COVID19BE diagnosis management and treatment from Prof. Tingbo LIANG Editor-in-Chief : Protection Image
Must read for every-one guidance from China on #COVID19 #COVID19BE diagnosis management and treatment from Prof. Tingbo LIANG Editor-in-Chief : Donning of PPE Image
Read 8 tweets
Mar 10, 2020
@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:
@jasonvanschoor @UZBrussel 1/ Don’t use HFOV or NIV too much
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
@jasonvanschoor @UZBrussel 3/ low tidal volume 4-6 ml/kg PBW with minimal RR to achieve pH above 7.2
4/ PEEP relatively high 13-15 cmh2O;
Read 8 tweets
Apr 3, 2019
Evaluating volume status and fluid responsiveness - what is new in 2019? by @PrXaMonnet #ISICEM19

fluid challenge
mini-fluid challenge
SVV, PPV
IVCCI
EEO
recruitment maneuver
passive leg raise => less reliable during abdominal hypertension
Excellent talk by @PrXaMonnet #ISICEM19 Detection of fluid responsiveness
Advantages and drawbacks of fluid challenge and mini-fluid challenge @PrXaMonnet #ISICEM19
Read 4 tweets

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