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

Driving pressure = MSFP - CVP

#IFAD2023

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

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

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@avkwong - @Manu_Malbrain - @azJanPalfijn - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @iceman_ex When do you use starch solutions?

#IFAD2021 #FOAMed #FOAMcc
REPOSITORY (access 100+ lectures): whova.com/portal/webapp/…
@avkwong - @Manu_Malbrain - @azJanPalfijn - @FOAMecmo - @Wilkinsonjonny - @strachanjamie - @iceman_ex - @icmteaching - @Gas_Craic

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 Keep in mind the deleterious effects of fluid overload and fluid accumulation syndrome on cardiovascular function #IFAD2021 via @Manu_Malbrain
@azJanPalfijn

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 Must read for every-one guidance from China on #COVID19 #COVID19BE diagnosis management and treatment from Prof. Tingbo LIANG Editor-in-Chief : Protection

@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

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

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

Assessment of Fluid Overload and Hypervolemia (1/8)

Clinical assessment and signs for #FO are aspecific and unreliable:
-pitting edema
-ascites
-positive fluid balance
-orthopnea
-hepatojugular reflux
-...

Preparing for #smacc #ISICEM19 #IFAD2019 #WCACS2019 Assessment of Fluid Overload and Hypervolemia (2/8)

Biochemical Assessment for #FO is aspecific and unreliable:
-Hypoalbuminemia
-Hypoproteinemia
-low COP
-low osmolality
-...

Preparing for #smacc #ISICEM19 #IFAD2019 #WCACS2019