It is time to pay attention to fluid management: A warm welcome to the 3rd International Fluid Academy Days

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


We are very excited to present you the Third International Fluid Academy Days! This 3rd iFAD will deliver once more a compact and now two-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 oflooking at fluids beyond their role in mere hemodynamic stabilization, nevertheless we are still far away from treating fluids as any other drug we would give to our patients [12]. The side effects of fluids are without doubt more than relevant. The associated morbidity and mortality with poor fluid management is either related to hypovolemia and convective problems or to fluid overlaad 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 [2, 9]. There is also increasing data proving that the induction ofhyperchloremic metabolic acidosis due to the use of unbalanced solutions is not as innocent as previously thought [14, 17, 18].

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