Welcome to our new Blog!

Intravenous (IV) fluid therapy plays a fundamental role in the management of hospitalized patients and correct use of IV fluids can be lifesaving. Parenteral nutrition (PN) solutions and additives also give clinicians many opportunities to meet diverse patient needs.

IV fluid administration is one of the most common interventions in acute care, but it can be frequently mismanaged, thus we support ongoing education related to fluid stewardship, join us for a session on fluid stewardship

More than 80% of hospitalized patients receive IV fluids. However, 1 in 5 patients may suffer complications or morbidity due to inappropriate administration of IV fluids.

Despite the request from the WHO many countries do not have a national sepsis plan. 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!

Overview and objectives: The course will start by refreshing core topics in point of care ultrasound of the heart, lung and abdomen. Then we will quickly move towards hands-on sessions to put this in practice. The CACU programme is innovative to meet the needs of beginners and advanced practitioners. The CACU course offers a fantastic opportunity to meet and greet expert sonographers in a small interactive group. You will have a true VIP experience on the front seat where you will be able to improve your skills during the hands-on sessions and to test your knowledge during the interactive cases with voting.

Learning objective:

• Become a better bedside doctor
• Never be surprised by your patient’s blood gas ever again
• Meet world-renown experts in the field
• Truly master acid-base at the bedside
• Supported by many interactive clinical cases
• Bicarbonate Rules, Base Excess, Stewart, Mixed approaches

Learning objective: Theoretical concepts, basic physiology and pathophysiology, cardiac and respiratory support and monitoring, alarm settings and monitoring, role of cardiac ultrasound during ECMO, newest technologies, circuits and devices, practical hands-on sessions and simulations.

1 in 5 patients may suffer complications or morbidity due to inappropriate administration of IV fluids

Watch Baxter's educational videos and recorded masterclass sessions on fluid management, hemodynamic monitoring and how to implement fluid stewardship.

Fluid stewardship is defined as a series of coordinated interventions, introduced to select the optimal fluid, dose and duration of therapy that results in the best clinical outcome, the prevention of side effects and complications and cost reduction

Due the global Corona and COVID19 pandemic the different IFADmini pop-up meetings in 2020 around the globe have been cancelled. Join us now for the IFADmini pop-up meeting in Cracow on June 10th.

Due the global Corona and COVID19 pandemic the different IFADmini pop-up meetings in 2020 around the globe have been cancelled. Join us now for the IFADmini pop-up meeting in Dubai on May 13th.

Fluid Replacement in the Critically Ill Patient: Impact of Current Recommendations in the Real World. This PeerVoice independent medical education activity has been endorsed by the International Fluid Academy.

A growing list of publications indicate that the assessment of lymphocyte subset counts may provide prognostic information for COVID-19 disease severity and convalescence when considered in conjunction with other clinical information.

Fluid administration and management are one of the fundamental practices of intensive care. The principles of good fluid practice are built upon the foundations of a firm understanding of the underlying pathophysiological process. COVID-19 is a novel illness and presents unique challenges not just to clinical practice but the entire healthcare system.

Fluid administration and management are one of the fundamental practices of intensive care. The principles of good fluid practice are built upon the foundations of a firm understanding of the underlying pathophysiological process. Read this blog by our Diamond sponsor.

Cardiac Cycle Efficiency (CCE) is a unique hemodynamic variable exclusive to MostCare Up. CCE provides a global assessment of total cardiovascular performance, measured in terms of energy expenditure.

Advantage Hemodynamic parameters like cardiac output and its determinants can be useful for optimising individual goal-directed therapy. Read this blog by our Golden Sponsor

We designed an international electronic survey to better understand current practice and alignment with international guidelines in critically ill COVID-19 patients. Little is known about the cardiovascular consequences of COVID-19 and the hemodynamic management of patients requiring ICU admission.

We designed an international electronic survey to better understand current practice and alignment with international guidelines in critically ill COVID-19 patients. Fluid administration and management are one of the fundamental practices of intensive care, however few colleagues consider fluids as drugs.

We designed an international electronic survey to better understand current practice and alignment with international guidelines in critically ill COVID-19 patients. The impact of the present COVID-19 crisis on all levels of society is devastating. Therefore we would like to know the following: Tell us how you managed ICU patients. Tell us what you feel. Tell us what you think. Tell us what you have done

Due the global Corona and COVID19 pandemic the different IFADmini pop-up meetings in 2020 around the globe have been cancelled. The following meetings were planned in 2020 in Jakarta (Indonesia, April 6), Milano during SMART (Italy, May 28), Barcelona during ESA specialist society session (Spain, June 2), Krakau (Poland, June 5), Mexico city durine RECAT (Mexico, August 1-2), and Kuala Lumpur (Maleysia, Sep 6). We hope to organise them once global evolution and travelling allows us... Check our website for updates and stay safe!

Sedation and analgesia during ECMO (M Raes)

Weaning from ECMO (D dos Reis Miranda)

How to deal with antibiotics and fluids (H Peperstraete)

Radiology of ECMO (K Nieboer)

How to deal with nutrition? (E de Waele)

Neuro-monitoring during ECMO (F Taccone)

Indications and contraindications (S Bouchez)

ECMO principles and different modes (F Taccone)

Anticoagulation (H Peperstraete)

Setting the scene for the day

Watch the Livestream of the 40th Anniversary ICU Symposium in Brussels (Oct 12)

Follow the livestream of the 3rd BEACH course in Brussels (Oct 11)

BElgian Annual eCmo Hands-on Course

We need your help to collect money to support research on IV Fluids. Save lives, donate now.

The #IFAD2018 Social Media Report is out. Find out more and download the 297 page report!

The #BEACH2018 Social Media Report is out. Find out more and download the 9 page report!

Monitoring of the respiratory function and adapting the ventilatory settings during anaesthesia and critical care are of great importance. This article will focus on how to deal with the respiratory derangements in critically ill patients with abdominal hypertension.

Talk given by Victoria McCredie, University of Toronto. Secondary brain injury is a frequent event in TBI patients. These events greatly influence prognosis and are potentially preventable. Our understanding of secondary brain injury mechanisms and physiologic responses to treatment is evolving.

Over the last decades we have used aggressive fluid resuscitation as a cornerstone in the treatment of shock, however, with only little evidence to support this. Early venconstriction may avoid fluid overload.

Join us in India on december 23rd on the first Fluid Academy Day in India, organised by Supradip Ghosh. Everything you need to know about fluid therapy (#IFAD2018 #IFADmini)

Think you know your cardiac output monitor? Think you can tell the difference between ScVO2, pCO2 gap, etc? Is your clinical practice similar to your peers?

Have a look at how the delegates of #IFAD2018 voted in the interactive voting of the "Fluid responsiveness and beyond" session .....

Think you know your fluids? Think you can tell the difference between Hartmanns, 0.9% saline, etc? Is your clinical practice similar to your peers?

Have a look at how the delegates of #IFAD2018 voted in the interactive voting of the "Paradigm shift in fluid therapy" session .....

What do you think?? Do you agree? Do you disagree? We want to hear from you. Post your comments or contact us on @fluid_academy

Follow the livestream of the 7th International Fluid Academy Day in Amsterdam (Nov 23)

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...

If you are going to the AMIB meeting in Sao Paulo join us for an iFADmini on Nov 28th or come to Rio for an iFADmicro on Dec 5th

Talk by @Manu_Malbrain given during the #LIVES2018 Pro Con debate on Oct 24th in Paris whether the Surviving Sepsis Campaign Guidelines and Bundles should be retired yes or no. Manu Malbrain taking the PRO stand against Mitch Levy. Watch full presentation here.

This workshop will explain why some powerpoint presentations are boring and what you can do to keep your audience awake...

The Social Media and Critical Care Conference continues to harness the immense energy of FOAM and SMACC in Sydney March 26-29 2019 promises to be the best one yet. IFAD is a SMACC affiliated website.

This blog is the second of three from the authors examining how social media (SoMe) transgresses the usual borders and may, in the future, play an important role in learning and teaching in critical care...

This blog is the first of three from the authors examining how social media (SoMe) transgresses the usual borders and may, in the future, play an important role in learning and teaching in critical care...

Social media is beginning to change the way that medicine is practiced. It has the power to engage people in public health and policy discussions, and to establish professional networks...

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...

The course will start by refreshing core topics in acid base medicine. Then we will quickly move towards full and complete understanding of acid base medicine made easy by key-experts in the field and is NOT to be missed...

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

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...

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...

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...

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.

Summary slide from the day

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

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

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

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

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

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

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

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

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

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

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

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

Check out this space as the FOAMbot is coming soon

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

PiCCO

Swan-Ganz

Ultrasound

Impedance

Elderly

Right heart failure

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

Fluid overload and the lungs

How a little girl saved the world

The sodium conundrum

The use of blood purification systems in sepsis

#FOAMed #FOAMCC

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

What would these experts do?

AND a commentary by @concernecus

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

A perioperative guide - a blog by @iamyourgasman

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

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

ECMO musings by @Concernecus (Brandan Riordan)

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

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.

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

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

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

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!

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...

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

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...

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

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 .

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

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.

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

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

Learn how to get the most out of your NAVA device

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

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...

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

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.

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...

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...

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

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...

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

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.

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

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

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

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

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

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

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

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? 

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

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

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.

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

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.

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.

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.

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

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.

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

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”.