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Welcome to the IFA blog

The goal of this blog is to provide visitors with a unique opportunity to share news, updates and conference content, while also offering a place for us to interact with our community. To participate on this blog, user should have a minimum age of 18 years. The blog rules apply to everything done in the blog section of the website. If you’re wondering what you can expect from the content you find on our blog, and how the information here differs from the information you may find on our website, read on.

Authority

Our blog is moderated on a monthly basis. The moderators and administrators [Manu L.N.G. Malbrain, MD, PhD, Professor Faculy of Medicine and Pharmacy, Vrije Universiteit Brussel (VUB) and ICU Director UZ Brussels, Jette, Belgium (This email address is being protected from spambots. You need JavaScript enabled to view it.) and Niels Van Regenmortel, MD, ZNA Stuivenberg, Antwerp, Belgium (This email address is being protected from spambots. You need JavaScript enabled to view it.)] are volunteers. They may use the following aliases: [administrator, Fluid_Academy]. The moderators and forum members are not regarded as health professionals. If otherwise, it must be stated. If a health professional gives medical information as a platform user, his status as a medical professional must be identified. The moderators reserve the right to delete any messages deemed to be inappropriate without notifying the author.  The moderators could ban a member of the blog. In both instances, an explanation will be provided if user requests.

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Last date of modification: 03/13/2018 (by Manu Malbrain)

 

Serial ultrasonographic examinations should be obtained imp source Patients should be informed of the risk of liver failure Serial ultrasonographic examinations should be obtained.

Petition to retire the surviving sepsis campaign guidelines

Petition to retire the surviving sepsis campaign guidelines

Fill in the petition. Guidelines that go beyond guidance and move to regimented, time-based prescriptions of care must be based on unassailable evidence. Even then, the clinician's assessment of the individual patient should allow a diversion from the guideline directed care.

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#IFADmini at the #14ECCC Dubai 2018

#IFADmini at the #14ECCC Dubai 2018

Summary slide from the day

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What is the ideal IV fluid? (#iFADmini #IFAD2018)

What is the ideal IV fluid? (#iFADmini #IFAD2018)

Read further and find out whether or not the ideal intravenous plasma substitution fluid exists or not?

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The neglected role of abdominal compliance (#iFADmini #IFAD2018)

The neglected role of abdominal compliance (#iFADmini #IFAD2018)

Read on, if you want to know how abdominal compliance plays a role in organ-organ interactions

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What is new in IAP measurement (#IFAD2018 #iFADmini)

What is new in IAP measurement (#IFAD2018 #iFADmini)

In this #ISICEM18 lecture @manu_malbrain discusses the recent advances in IAP measurement as well as the advantages for continuous monitoring

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The use of ultrasound in de-resuscitation

The use of ultrasound in de-resuscitation

Point-of-care ultrasound as a multimodal approach for fluid management. Can POCUS save the drowning?

Picture1

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Privacy GDPR

Privacy GDPR

Please read our new privacy policy statement in order to comply with the GDPR (General Data Protection Regulation) of the EU.

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#iFADmini in Dubai

#iFADmini in Dubai

If you are going to the 14th ECCC (Emirates Critical Care Congress) join us for an iFADmini on April 5th

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How to monitor de-resuscitation (#ISICEM18 #IFAD2018)

How to monitor de-resuscitation (#ISICEM18 #IFAD2018)

Different monitoring tools are available to help the clinician to guide de-resuscitation

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Global Increased Permeability Syndrome (#ISICEM18 #IFAD2018)

Global Increased Permeability Syndrome (#ISICEM18 #IFAD2018)

Global increased permeability syndrome is defined as fluid overload with new onset organ failure.

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Fluids are Drugs (#ISICEM18 #IFAD2018)

Fluids are Drugs (#ISICEM18 #IFAD2018)

 

In analogy to antibiotic stewardship physicians should treat fluids also as drugs

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Understanding CARS (#ISICEM18 #IFAD2018)

Understanding CARS (#ISICEM18 #IFAD2018)

Understand what worsening renal fdunction occurs in patients with congestive heart failure

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#IFAD2018 campaign started

#IFAD2018 campaign started

If you are attending #ISICEM18 follow the #IFAD2018 campaign to secure your FREE seat in Amsterdam

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IFAD goes International

IFAD goes International

At last IFAD meeting in Antwerp the Executive Committee became truly international

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FOAMbot

FOAMbot

Check out this space as the FOAMbot is coming soon

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#IFAD2017 Social Media Report

#IFAD2017 Social Media Report

The #IFAD2017 Social Media Report is out. Find out more and download the 82 page report

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Monitoring in Sepsis and ARDS

Monitoring in Sepsis and ARDS

PiCCO

Swan-Ganz

Ultrasound

Impedance

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Fluids in special groups

Fluids in special groups

Elderly

Right heart failure

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Successful markers of resuscitation

Successful markers of resuscitation

Pros and Cons of Diuresis
Pros and Cons of S(c)vO2
Pros and Cons of endtidal CO2
Pros and Cons of Lactate

by @concernecus

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Honorary Day 2 Opening Lectures

Honorary Day 2 Opening Lectures

Fluid overload and the lungs

How a little girl saved the world

The sodium conundrum

The use of blood purification systems in sepsis

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A collection of specially released Free and Open Access papers as part of #IFAD2017

A collection of specially released Free and Open Access papers as part of #IFAD2017

#FOAMed #FOAMCC

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Fluid Overload Revisited

Fluid Overload Revisited

Three great talks on the topics of over transfusion, oedema and the furosemide challenge. Blog post written by Matt Rowland (@matthewjrowland).

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The hypotensive oedematous septic patient

The hypotensive oedematous septic patient

What would these experts do?

 

AND a commentary by @concernecus

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IFA research

IFA research

Highlighting the trials sponsored by the International Fluid Academy...

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Optimising the perioperative patient

Optimising the perioperative patient

A perioperative guide - a blog by @iamyourgasman

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The Race to the Bottom

The Race to the Bottom

@concernecus summarises the 'Too much fluid?' session at #IFAD2017 

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Opening Plenary

Opening Plenary

Sepsis 3.0 Was it worth the wait?
Less is more: what is the best frequency of routine investigations?
Avoiding Massive Transfusion
60 years on from Shires and Moore’s plea for ‘Moderation’: Culture eats evidence for breakfast

 

- written by @matthewjrowland and @matrix_mania

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The First Annual BEACH (BElgian Annual eCmo Hands-on) Course

The First Annual BEACH (BElgian Annual eCmo Hands-on) Course

ECMO musings by @Concernecus (Brandan Riordan)

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Medical Statistics

Medical Statistics

A workshop delivered by some of the brightest mines and active researchers. Blog written by Duncan Chambler (@DuncanChambler)

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Workshop on how to understand the glycocalyx (WS2)

Workshop on how to understand the glycocalyx (WS2)

LEARNING OBJECTIVE
Emphasising the endothelial glycocalyx as a luminal extension of intracellular structural proteins, regulating intracellular processes like intercellular adhesion and NO synthesis. It is continually growing/ shedding.

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IFAD Hemodynamics Workshop

IFAD Hemodynamics Workshop

A full-day workshop chaired by Joris Lemson. Blog post written by Matt Morgan (@Matrix_Mania).

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Workshop on how to talk like TED (WS8)

Workshop on how to talk like TED (WS8)

So you think you are a good teacher? Do you want to improve your presentation skills? Read this.

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Workshop on fluid stewardship

Workshop on fluid stewardship

Fluid prescribing has been shown to be associated with significant morbidity and mortality and many patients who receive intravenous fluids suffer iatrogenic harm. Now is time to do better!

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1st BEACH course

1st BEACH course

This workshop will outline the basic principles of extracorporeal life support made easy by key-experts in the field and is NOT to be missed...

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Workshop on Nutrition Stewardship

Workshop on Nutrition Stewardship

Now is the time to learn everything you wanted to know on nutritional stewardship in the critically ill but were afraid to ask...

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Workshop on Sepsis Stewardship

Workshop on Sepsis Stewardship

Now is the time to learn everything you wanted to know on sepsis stewardship in the critically ill but were afraid to ask: don't miss out and sit on the fornt row with key experts...

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4th CACU: Course on Acute Care Ultrasound

4th CACU: Course on Acute Care Ultrasound

Join us for a full day course comprising of lectures, interactive sessions and practical hands-on time on various modalities of point-of-care ultrasound with experienced international faculty

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Abstract Submission Deadline

Abstract Submission Deadline

The most engaging meeting on Fluid Therapy in the Criticaly Ill. Because of high demand we have extended the abstract submission deadline for the 6th International Fluid Academy Days untill October 15th .

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The four questions of fluid therapy

The four questions of fluid therapy

Part 1 of series on fluid therapy: The 4 questions or why you should bother about the ebb and flow phase of shock

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6th IFAD Registration Open

6th IFAD Registration Open

Join us in Antwerp, the end of November for the 6th International Fluid Academy Days (iFAD), a concise 3-day Critical Care symposium on fluid management and organ function monitoring in the critically ill.

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EFSUMB Course Book

EFSUMB Course Book

View and download Ultrasound Book from the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB)

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What every-one should know about balanced solutions

What every-one should know about balanced solutions

Listen to the podcasts with introduction and pro-con debate on balanced crystalloid solutions

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How to get the most out of your NAVA device?

How to get the most out of your NAVA device?

Learn how to get the most out of your NAVA device

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6th IFAD Merchandise

6th IFAD Merchandise

Order your original IFAD goodies when registering for the 6th IFAD meeting

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Satellite Masterclass Symposium on cytokine removal

Satellite Masterclass Symposium on cytokine removal

Capillary leakage is one major cause of intravasal fluid deficiency. This may result in hypotension and cardiocirculatory shock necessitating fluid resuscitation. Follow this Masterclass and learn more on cytokine removal...

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EFSUMB Course Book

EFSUMB Course Book

View and download Ultrasound book of the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB).

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Workshop on How to talk like TED?

Workshop on How to talk like TED?

This workshop is based on the historical battle between Rob and Paul held at SMACC Chicago in 2015 entitled “Predicting Fluid Responsiveness is a Waste of Time”. For those who have missed it in 2015 here is your chance to relive history.

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Workshop on Medical Statistics

Workshop on Medical Statistics

Now is the time to learn from experts like Prof Luciano Gattinoni on everything you wanted to know on evidence-based medicine but were afraid to ask...

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Workshop on PK/PD

Workshop on PK/PD

Now is the time to learn everything you wanted to know on pharmacokinetics and pharmacodynamics (PK/PD) of antibiotics in the ICU but were afraid to ask...

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I dont like the Berlin ARDS definition

I dont like the Berlin ARDS definition

Do you like the Berlin ARDS definition? Read more why they are far from perfect and view results of  the Twitter survey

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Incidence of pulmonary embolism in emergency department

Incidence of pulmonary embolism in emergency department

In adult patients who are hospitalised for a first episode of syncope, what is the prevalence of pulmonary embolism (PE)? The authors were concerned that PE is an underappreciated cause of syncope...

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NIV via mask vs. helmet

NIV via mask vs. helmet

To determine whether noninvasive ventilation (NIV) delivered by helmet improves intubation rate among patients with acute respiratory distress syndrome (ARDS).

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Join #dasSMACC

Join #dasSMACC

The Social Media and Critical Care Conference continues to harness the immense energy of FOAM and dasSMACC in Berlin June 26-29 2017 promises to be the best one yet.

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Cristal

Cristal

CRISTAL wanted to test whether the use of colloids or crystalloids for fluid resuscitation is more likely to reduce mortality in patients admitted to the ICU with acute hypovolemic shock

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All you need to know about FLUIDS, IFAD, FOAM and SMACC

All you need to know about FLUIDS, IFAD, FOAM and SMACC

The IFAD is proud to announce that the Fluid Academy website is now an official SMACC affiliated website!

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The four questions of fluid therapy (Part 1.3.)

The four questions of fluid therapy (Part 1.3.)

Part 1 of series on fluid therapy: The 4 questions or why you should bother about the ebb and flow phase of shock

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The four questions of fluid therapy (Part 1.6.)

The four questions of fluid therapy (Part 1.6.)

Part 1 of series on fluid therapy: The 4 questions or why you should bother about the ebb and flow phase of shock

Read more

The four questions of fluid therapy (Part 1.2.)

The four questions of fluid therapy (Part 1.2.)

Part 1 of series on fluid therapy: The 4 questions or why you should bother about the ebb and flow phase of shock

Read more

The four questions of fluid therapy (Part 1.4.)

The four questions of fluid therapy (Part 1.4.)

Part 1 of series on fluid therapy: The 4 questions or why you should bother about the ebb and flow phase of shock

Read more

The four questions of fluid therapy (Part 1.5.)

The four questions of fluid therapy (Part 1.5.)

Part 1 of series on fluid therapy: The 4 questions or why you should bother about the ebb and flow phase of shock

Read more

SMACCDUB Day 1

SMACCDUB Day 1

SO, YOU THINK YOU ARE A RESUSCITATIONIST...? (Victoria Brazil – @SocraticEM)

Every one needs to do reality check Brazil felt first like a resuscitationist about 20 years ago at a road accident = combination of CPR + fluids? 

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IFAD 2015 Day 1

IFAD 2015 Day 1

Introduction and Welcome to the 5th IFAD Meeting! (M. Malbrain)

  • Encourages the use of SoMe and interaction with each other. Its only through discussion that genuine learning takes place.
  • The 4Ds of fluid therapy
  • ROSE fluid strategy

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How to set PEEP in Abdominal Hypertension

How to set PEEP in Abdominal Hypertension

Increased intra-abdominal pressure (IAP) alters PV curves and usually shifts the chest wall PV loop to the right while lung PV curves remain unaffected.

The application of PEEP will increase IAP but only when > 10 cmH2O
On average a PEEP 15 cmH2O → IAP + 1.5mmHg

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36th ISICEM Free Full Text Reviews

36th ISICEM Free Full Text Reviews

Reviews

Below you can find the links to the full text open access of the 10 review papers published in relation to the 36th ISICEM (International Symposium on Intensive Care and Emergency Medicine), held in Brussels, Belgium, March 13-18, 2016.

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5th IFAD Free Full Text Reviews

5th IFAD Free Full Text Reviews

From Annual Update in Fluid Management and Hemodynamic Monitoring

Below you can find the links to the full text open access of the review papers published in relation to the 5th IFAD (International Fluid Academy Days), held in Antwerp, Belgium, November 26-28, 2015

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4th IFAD Free Full Text Reviews

4th IFAD Free Full Text Reviews

Below you can find the links to the full text open access of the review papers published in relation to the 4th IFAD (International Fluid Academy Days), held in Antwerp, Belgium, November 27-29, 2014.

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Summary of 3rd Course on Acute Care Ultrasound

Summary of 3rd Course on Acute Care Ultrasound

It’s the end of a busy day at the 3rd Course on Acute Care Ultrasound (CACU) course as part of the 5th International Fluid Academy Day. A mixture of lectures from experts within the field of echocardiography and ultrasound and the all important practical hands on experience.
A timetable of the day’s activity, which was divided into beginners and advanced is shown below. The sheer breadth of knowledge and practical potential of ultrasound meant that there was something for everyone.

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Course on Acute Care Ultrasound

Course on Acute Care Ultrasound

Only one day to go till the 3rd Course on Acute Care Ultrasound which takes place during the 5th iFAD meeting on November 26th at the Hilton in Antwerp Belgium.

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IFAD Day 2

IFAD Day 2

Opening Lecture: Perioperative fluids - How restrictive should we go? (M. Mythen)

Distinct from the critical care situation

Guiding fluid therapy - Knowledge and experience vs advanced haemodynamic monitoring

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New IFAD App ready for use

New IFAD App ready for use

You can download the free Whova Mobile App on your mobile device before or during the conference and plan ahead to make the most of your "5th International Fluid Academy Days 2015" experience. The app offers a unique set of features to help you access mobile brochures and network with other attendees at the conference.

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Are you ready?

Are you ready?

Less than a week to go till IFAD 2015. Things to consider in order to maximise learning and discussion.......

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Avoiding positive fluid balance and the role for DE-resuscitation

Avoiding positive fluid balance and the role for DE-resuscitation

De-resuscitation specifically refers to ‘Late Goal Directed Fluid Removal (LGFR)’, which involves “aggressive and active fluid removal by means of diuretics and renal replacement therapy with net ultrafiltration”.

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