• Privacy GDPR

    Privacy Policy

    The European General Data Protection Regulation (GDPR) comes into force on May 25th 2018 and has major implications worldwide. European citizens now have multiple digital rights over their personal details, including the right to be asked to provide consent for the storage of personal details in a database, the right to be asked to provide consent to be contacted, the right to see the personal information stored, the right to be forgotten including having all personal details permanently removed from a database, the right to know who this information is shared with (consent is also required for this), and the right to be contacted should a significant data breach occur. All of these changes must be prospectively acknowledged by the user and cannot be presumed to have occurred. The proof rests with the websites to be able to demonstrate consent has been obtained. It is likely almost all websites in the world will move to this model, unless they wish to limit access to European citizens, which would be difficult technically. Fines for non-compliance with this can reach €20 million. As a result, we have updated our privacy policy accordingly. We took as example the updated privacy policy of Critical Care Reviews, a sister website providing FOAM content...

  • 7th IFAD 2018

    FIRST BATCH OF EARLY BIRD ONLINE REGISTRATIONS SOON OPEN

    November 23rd 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. 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. This website is regularly updated. Last modification by Adminstrator (Manu Malbrain) on February 7th at 10:00 AM.

  • About iFAD

    The iFAD started as local initiative form the pharmaceutical working group on fluids from the Ziekenhuis Netwerk Antwerpen (www.zna.be). Today iFAD is integrated within the not-for-profit charitable organization iMERiT, International Medical Education and Research Initiative, under Belgian law and as such the iFAD Organising Committee strongly recognizes and values a constructive partnership with the industry.

    This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
    verify here.

     

     

     

    Read more

  • Brand new website!

    The IFAD website content is based on the philosophy of FOAM (Free Open Access Medical education – #FOAMed). The organising committee gives their time freely and receives no financial benefit. This in part explains the wonderful passions for philanthropy, sharing, education and innovation that make the IFAD unique.

    This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
    verify here.

  • Free Open Access Medical Education and Member Benefits

    The International Fluid Academy adheres to the FOAM principles for all website visitors: FREE Open Access Medical Education (#FOAMed #FOAMcc #FOAMus).

    This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information:
    verify here.

     

     

    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. 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.

    Read more

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

Leave a comment

You are commenting as guest.

Become a free member!

    Fluid_Academy

    Facebook

    Welcome to our new Blog!

    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.

    Read more

    #IFADmini at the #14ECCC Dubai 2018

    #IFADmini at the #14ECCC Dubai 2018

    Summary slide from the day

    Read more

    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?

    Read more

    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

    Read more

    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

    Read more

    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

    Read more

    Social Media

      like us on Facebook

      follow us on Twitter

      join Discussion group

      join us on Linkedin

      newsletter sign up

      post on the blog