It is time to pay attention to fluid management: A warm welcome to the 2nd International Fluid Academy Day

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Manu L. N. G. Malbrain, Niels Van Regenmortel, Dirk Himpe


We are very excited to present you the Second International Fluid Academy Day! This 2nd iFAD will deliver once more a compact one-day program on clinical fluid management, a topic that has been neglected for a long time. Although the medical community clearly seems to recognise the importance of looking at fluids beyond their role in mere hemodynamic stabilization as proven by the time spend on this topic on medical congresses and in the literature [6]. Nevertheless we are still far away from treating fluids as any other drug we would give to our patients. The side effects of fluids are without doubt more than relevant. The associated morbidity and mortality to poor fluid management is either related to hypovolemia and convective problems or to fluid overload with proven morbidity in all kinds of patients and diseases, partly due to diffusion problems resulting in interstitial oedema, in either case the oxygen cannot get to the tissues [1, 5]. There is also increasing data proving that the induction of hyperchloremic metabolic acidosis due to the use of unbalanced solutions is not as innocent as previously thought.

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