• 6th IFAD 2017

    FIRST BATCH OF EARLY BIRD ONLINE REGISTRATIONS NOW OPEN

    November 23-25th 2017
    Hilton Congress Centre, Antwerp, Belgium

    We are very pleased to announce the Sixth International Fluid Academy Days, which will take place on November 23-25th 2017 at the Hilton Hotel in Antwerp, Belgium. The aim of this sixth 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 March 19th 2017 at 10:00 AM

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  • 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.

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  • 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.

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  • 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).

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    We are very pleased to announce the Sixth International Fluid Academy Days, which will take place on November 23-25th 2017 at the Hilton Hotel in Antwerp, Belgium. The aim of this sixth 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

  • iFAD history

    The iFAD started as local initiative from 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...

    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.

     

     

     

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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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