• 7th IFAD 2018

    SPECIAL RATE  ONLINE REGISTRATION NOW OPEN

    IFAD GOES AMSTERDAM !!!

    November 23-24, 2018 @ Congress Centre "Pakhuis De Zwijger", Amsterdam, The Netherlands

    We are very pleased to announce the 7th International Fluid Academy Day, which will take place on November 23rd 2018 at Pakhuis De Zwijger in Amsterdam, The Netherlands (Faculty: Pietro Caironi, Maurizio Cecconi, Luciano Gattinoni, Robert Hahn, Monty Mythen,...). The aim of this seventh edition is again to review recent advances in fluid management, and hemodynamic and organ function monitoring in the critical care setting in a comprehensive manner for intensivists, anaesthesiologists and emergency physicians as well as interested internists and surgeons. However the meeting will deal with any broad topic related to critical care. As always it is also a great way to promote professional interaction between faculty members, participants and delegates of the industry. On November 24th post-IFAD courses will be organised: 5th CACU (Critical and Acute Care Ultrasound) course (Faculty: Adrian Wong, Daniel Lichtenstein, Jan Poelaert, Xavier Monnet, Pieter Tuinman...); 1st Acid-Base Masterclass (Faculty: Luciano Gattinoni, Pietro Caironi, Tom Langer, Paul Elbers, Niels Van Regenmortel,...) and 2nd ECMO hands-on cannulation course (Faculty: Dinis dos Reis Miranda). This website is regularly updated. Last modification by Adminstrator (Manu Malbrain) on August 2nd 2018 at 10:00 AM.

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Elderly

Fluids in special groups

Fluids in the elderly - Marcia Mac Dougall

 

We are very poor at managing fluid balance in the elderly - why?

 

  • Comorbidities
  • Less reserve
  • Easily overloaded
  • Easily dehydrated
  • Polypharmacy
  • Major surgery

 

Progressive loss of renal function from the age of 40

Dehydration a big problem - difficulty to diagnose and often don't complain of thirst

Important to do the simple things well - but especially in the elderly

Ended with the IFAD mantra:

 

“The right amount of fluid, to the right patient, at the right time”

 

Fluids in right heart failure - Paul Elbers

 

All intensivists should be aware about the right heart failure

RAP cannot predict volume responsiveness

Increase following fluid administration may imply impending right heart failure

From a Guytonian perspective: septic RV dysfunction should make you very cautiously consider giving fluids

 

Summary:

Guess what - not too much, not too little, just the right amount

Always try and apply fluid strategy with the right heart in mind and physiology driven

Multimodal monitoring is your friend

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