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Fluid Academy Profile picture
@Fluid_Academy
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
When do you use starch solutions?
#IFAD2022 #FOAMed #FOAMcc

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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex
When do you use (hypotonic) albumin 4% solutions?
#IFAD2022 #FOAMed #FOAMcc

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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex
When do you use (hypertonic) albumin 20% solutions?
#IFAD2022 #FOAMed #FOAMcc

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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex - @Thom_Langer
There is no place for a liberal blood transfusion strategy
#IFAD2022 #FOAMed #FOAMcc
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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex - @Thom_Langer - @OrlandoRPN
What is most important regarding fluids in #COVID19?

#IFAD2022 #FOAMed #FOAMcc

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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex - @Thom_Langer - @OrlandoRPN
What is your preferred monitoring tool?

#IFAD2022 #FOAMed #FOAMcc #POCUS

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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex - @Thom_Langer - @OrlandoRPN
What monitoring would you like to have in the future?

#IFAD2022 #FOAMed #FOAMcc

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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex - @Thom_Langer - @OrlandoRPN
What is in your opinion the best #ICU model?

#IFAD2022 #FOAMed #FOAMcc

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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex - @Thom_Langer - @OrlandoRPN
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
How to target plateau pressure in lung protective MV?

#IFAD2022 #FOAMed #FOAMcc

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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex - @Thom_Langer - @OrlandoRPN
The mean systemic filling pressure is CLINICALLY relevant?
#IFAD2022 #FOAMed #FOAMcc
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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex - @Thom_Langer - @OrlandoRPN
Use of POCUS + IVCCI has many limitations (RV, IAP, PEEP)
#IFAD2022 #FOAMed #FOAMcc
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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex - @Thom_Langer - @Orlandorp
Deresuscitation is less important than resuscitation?
#IFAD2022 #FOAMed #FOAMcc

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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex - @Thom_Langer - @OrlandoRPN
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
Who should take the lead in fluid stewardship?
#IFAD2022 #FOAMed #FOAMcc

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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex - @Thom_Langer - @OrlandoRPN
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
Patients with septic shock are hypovolemic?
#IFAD2022 #FOAMed #FOAMcc

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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex - @Thom_Langer - @OrlandoRPN
The SEP-1 mandate advocates SSCG with 30ml/kg/1hr
#IFAD2022 #FOAMed #FOAMcc

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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex - @Thom_Langer - @OrlandoRPN
Regarding big data and artificial intelligence (AI)?
#IFAD2022 #FOAMed #FOAMcc

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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex - @Thom_Langer - @OrlandoRPN
Regarding personalised vs protocolised care?
#IFAD2022 #FOAMed #FOAMcc

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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex - @Thom_Langer - @OrlandoRPN
What is most dangerous in times of (#COVID19) crisis?
#IFAD2022 #FOAMed #FOAMcc

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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex - @Thom_Langer - @OrlandoRPN
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 is/was your worst #COVID19 nightmare?
#IFAD2022 #FOAMed #FOAMcc

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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex - @Thom_Langer - @OrlandoRPN
What future fluid studies do we need?
#IFAD2022 #FOAMed #FOAMcc

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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex - @Thom_Langer - @OrlandoRPN
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
What future fluid studies do we need?
#IFAD2022 #FOAMed #FOAMcc

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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex - @Thom_Langer - @OrlandoRPN
Do you use the dobutamine stress test in ICU?
#IFAD2022 #FOAMed #FOAMcc

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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex - @Thom_Langer - @OrlandoRPN
Do you use the noradrenaline stress test in ICU?
#IFAD2022 #FOAMed #FOAMcc

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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex - @Thom_Langer - @OrlandoRPN
Do you use the furosemide stress test in ICU?
#IFAD2022 #FOAMed #FOAMcc

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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex - @Thom_Langer - @OrlandoRPN
Do you use the mini-fluid challenge test (1ml/kg) in ICU?
#IFAD2022 #FOAMed #FOAMcc
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@avkwong - @Manu_Malbrain - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @Drnasap - @iceman_ex - @Thom_Langer - @OrlandoRPN
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Fluid Academy Profile picture
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
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Driving pressure = MSFP - CVP

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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 starch solutions?

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@avkwong - @Manu_Malbrain - @azJanPalfijn - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @iceman_ex - @icmteaching - @Gas_Craic
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REPOSITORY (access 100+ lectures): whova.com/portal/webapp/…
@avkwong - @Manu_Malbrain - @azJanPalfijn - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @iceman_ex - @icmteaching - @Gas_Craic
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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
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@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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Apr 3, 2019
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