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WRAP IT UP
1st IFAD
Manu Malbrain
1st IFAD – International Fluid Academy Day
Today’s Agenda
• Introduction
• What you should know about Fluids
• What you should know about Monitoring
• What you can learn about Antwerp
• What you can learn next year
WRAP IT UP
Introduction
1st IFAD – International Fluid Academy Day
250 Doctors
25 Faculty members
25 Industry representatives
X
300
450 Delegates from 32 countries
• Physicians sessions
– 300
• Nursing Sessions
– 150
• Total
– 450
Belgium
The Netherlands
United Kingdom
Germany
Spain
Ukraine
France
Lithuania
Israel
Italy
Nigeria
Argentina
Ireland
Albania
Brunei
Canada
Denmark
Egypt
Georgia
Ghana
Iran
Letland
Luxembourg
Malaysia
Oman
Pakistan
Poland
Serbia & Montenegro
Tsjechie
Turkey
USA
Beyond our Wildest Dreams…
WRAP IT UP
What you should
know about fluids
1st IFAD – International Fluid Academy Day
MORNING
SESSIONS
Remember
SID!
Saline
Sucks!
Crystalloids
are not equal
Colloids are
not equal
SVR has a
place
Albumin has
a place
GIVE THE RIGHT FLUIDS RIGHT
PUSH THE BOUNDARIES
DONT FORGET MICROCIRCULATION
WRAP IT UP
What you should know
about monitoring
1st IFAD – International Fluid Academy Day
AFTERNOON
SESSIONS
Overload =
BAD
Goals =
dynamic
Each job has
a right tool
Closed Loops=
Mixed feelings
FR > Preload
Lactate =
Key/Clue
USE THE RIGHT MONITOR RIGHT
PUSH THE BOUNDARIES
DONT FORGET MICROCIRCULATION
WRAP IT UP
What you should
know about Antwerp
1st IFAD – International Fluid Academy Day
Antwerp = Hand
throwing
10 reasons to visit Antwerp Next year
1. Chocolate
2. Architecture
3. Diamonds
4. Fashion
5. Sea port
6. Rubens
7. Shopping
8. Nightlife
9. Fine Food, Beer
10. 2nd IFAD
What more do you need…?
2nd IFAD
WRAP IT UP
What you should
know about 2nd IFAD
1st IFAD – International Fluid Academy Day
www.fluid-academy.org
Places limited: only 350 left…
MORNING
SESSIONS
TBI
Hemorrhagic
shock
Burns
Heart Failure
Renal Failure
Liver Failure
USE THE RIGHT FLUID RIGHT
PUSH THE BOUNDARIES
DONT FORGET MICROCIRCULATION
ALI and ARDSIAH and ACS
AFTERNOON
SESSIONS
EIT and BIA
Cardiac
Output - BP
ICP and IAP
Microcircu-
lation
Peso and TDP
EVLWi
USE THE RIGHT MONITOR RIGHT
PUSH THE BOUNDARIES
DONT FORGET MICROCIRCULATION
Fluid
Responsiveness
ICG and dye
clearance
Minimal
Invasive
Non-
Invasive
One More
Thing…
What you should know
before going home
1st IFAD – International Fluid Academy Day
We forget to talk about:
Surviving Sepsis Guidelines…
• CVP: 8-12 mmHg
• Chasing a CVP may
lead to:
→ OVER resuscitation
→ UNDER resuscitation
Surviving Sepsis Guidelines
Crit Care Med 2008; [published correction appears in Crit Care Med 2008; 36:1394-1396] 36:296-327
Surviving Sepsis Guidelines
Thanks to… our Endorsers
Thanks to… our Sponsors!
Thanks to… our Sponsors!
Thanks to… the people in the back
Thank You Ann
Evaluation
Take your Voting
Pad
2nd IFAD – International Fluid Academy Day
Saturday November 17th 2012
After each talk: I think this lecture was
interesting and useful
1. I Fully Disagree
2. I Disagree
3. I am Neutral
4. I Agree
5. I Fully Agree
During the morning sessions my
knowledge on fluid management
improved
1. I Fully Disagree
2. I Disagree
3. I am Neutral
4. I Agree
5. I Fully Agree
What I learned during the morning
sessions will change my daily clinical
practice
1. I Fully Disagree
2. I Disagree
3. I am Neutral
4. I Agree
5. I Fully Agree
The morning sessions were well
balanced and covered all relevant “hot
topics”
1. I Fully Disagree
2. I Disagree
3. I am Neutral
4. I Agree
5. I Fully Agree
During the afternoon sessions my
knowledge on hemodynamic
monitoring improved
1. I Fully Disagree
2. I Disagree
3. I am Neutral
4. I Agree
5. I Fully Agree
What I learned during the afternoon
sessions will change my daily clinical
practice
1. I Fully Disagree
2. I Disagree
3. I am Neutral
4. I Agree
5. I Fully Agree
The afternoon sessions were well
balanced and covered all relevant “hot
topics”
1. I Fully Disagree
2. I Disagree
3. I am Neutral
4. I Agree
5. I Fully Agree
There was enough time for discussion
and interaction
1. I Fully Disagree
2. I Disagree
3. I am Neutral
4. I Agree
5. I Fully Agree
How did you find the mix between
fluids and monitoring?
1. I’d prefer more focus on fluids
2. The program was well balanced
3. I’d prefer more focus on monitoring
How did you find the overall
organisation of this meeting?
Please give your rating between 1 (very bad) to
10 (excellent)
How did you find the overall
organisation of this meeting?
Please give your rating between 1 (very bad) to 10 (excellent)
0 100 200 300
10
9
8
7
6
5
4
3
2
1
Vo ng Distribu on
Thank You
The registration fee for this meeting
was too high
1. I Fully Disagree
2. I Disagree
3. I am Neutral
4. I Agree
5. I Fully Agree
0 100 200 300
www.fluid-academy.org
Places limited: only 350 left…
THANK YOU
See You Next
Year!
2nd IFAD – International Fluid Academy Day
Saturday November 17th 2012

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Manu Malbrain - Wrapitup - IFAD 2011

  • 1. WRAP IT UP 1st IFAD Manu Malbrain 1st IFAD – International Fluid Academy Day
  • 2. Today’s Agenda • Introduction • What you should know about Fluids • What you should know about Monitoring • What you can learn about Antwerp • What you can learn next year
  • 3. WRAP IT UP Introduction 1st IFAD – International Fluid Academy Day
  • 4. 250 Doctors 25 Faculty members 25 Industry representatives X 300
  • 5. 450 Delegates from 32 countries • Physicians sessions – 300 • Nursing Sessions – 150 • Total – 450 Belgium The Netherlands United Kingdom Germany Spain Ukraine France Lithuania Israel Italy Nigeria Argentina Ireland Albania Brunei Canada Denmark Egypt Georgia Ghana Iran Letland Luxembourg Malaysia Oman Pakistan Poland Serbia & Montenegro Tsjechie Turkey USA
  • 6. Beyond our Wildest Dreams…
  • 7. WRAP IT UP What you should know about fluids 1st IFAD – International Fluid Academy Day
  • 8. MORNING SESSIONS Remember SID! Saline Sucks! Crystalloids are not equal Colloids are not equal SVR has a place Albumin has a place GIVE THE RIGHT FLUIDS RIGHT PUSH THE BOUNDARIES DONT FORGET MICROCIRCULATION
  • 9. WRAP IT UP What you should know about monitoring 1st IFAD – International Fluid Academy Day
  • 10. AFTERNOON SESSIONS Overload = BAD Goals = dynamic Each job has a right tool Closed Loops= Mixed feelings FR > Preload Lactate = Key/Clue USE THE RIGHT MONITOR RIGHT PUSH THE BOUNDARIES DONT FORGET MICROCIRCULATION
  • 11. WRAP IT UP What you should know about Antwerp 1st IFAD – International Fluid Academy Day
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21. 10 reasons to visit Antwerp Next year 1. Chocolate 2. Architecture 3. Diamonds 4. Fashion 5. Sea port 6. Rubens 7. Shopping 8. Nightlife 9. Fine Food, Beer 10. 2nd IFAD What more do you need…? 2nd IFAD
  • 22. WRAP IT UP What you should know about 2nd IFAD 1st IFAD – International Fluid Academy Day
  • 24.
  • 25.
  • 26. MORNING SESSIONS TBI Hemorrhagic shock Burns Heart Failure Renal Failure Liver Failure USE THE RIGHT FLUID RIGHT PUSH THE BOUNDARIES DONT FORGET MICROCIRCULATION ALI and ARDSIAH and ACS
  • 27. AFTERNOON SESSIONS EIT and BIA Cardiac Output - BP ICP and IAP Microcircu- lation Peso and TDP EVLWi USE THE RIGHT MONITOR RIGHT PUSH THE BOUNDARIES DONT FORGET MICROCIRCULATION Fluid Responsiveness ICG and dye clearance Minimal Invasive Non- Invasive
  • 28. One More Thing… What you should know before going home 1st IFAD – International Fluid Academy Day
  • 29. We forget to talk about: Surviving Sepsis Guidelines… • CVP: 8-12 mmHg • Chasing a CVP may lead to: → OVER resuscitation → UNDER resuscitation
  • 30.
  • 32. Crit Care Med 2008; [published correction appears in Crit Care Med 2008; 36:1394-1396] 36:296-327
  • 34. Thanks to… our Endorsers
  • 35. Thanks to… our Sponsors!
  • 36. Thanks to… our Sponsors!
  • 37. Thanks to… the people in the back Thank You Ann
  • 38. Evaluation Take your Voting Pad 2nd IFAD – International Fluid Academy Day Saturday November 17th 2012
  • 39. After each talk: I think this lecture was interesting and useful 1. I Fully Disagree 2. I Disagree 3. I am Neutral 4. I Agree 5. I Fully Agree
  • 40. During the morning sessions my knowledge on fluid management improved 1. I Fully Disagree 2. I Disagree 3. I am Neutral 4. I Agree 5. I Fully Agree
  • 41. What I learned during the morning sessions will change my daily clinical practice 1. I Fully Disagree 2. I Disagree 3. I am Neutral 4. I Agree 5. I Fully Agree
  • 42. The morning sessions were well balanced and covered all relevant “hot topics” 1. I Fully Disagree 2. I Disagree 3. I am Neutral 4. I Agree 5. I Fully Agree
  • 43. During the afternoon sessions my knowledge on hemodynamic monitoring improved 1. I Fully Disagree 2. I Disagree 3. I am Neutral 4. I Agree 5. I Fully Agree
  • 44. What I learned during the afternoon sessions will change my daily clinical practice 1. I Fully Disagree 2. I Disagree 3. I am Neutral 4. I Agree 5. I Fully Agree
  • 45. The afternoon sessions were well balanced and covered all relevant “hot topics” 1. I Fully Disagree 2. I Disagree 3. I am Neutral 4. I Agree 5. I Fully Agree
  • 46. There was enough time for discussion and interaction 1. I Fully Disagree 2. I Disagree 3. I am Neutral 4. I Agree 5. I Fully Agree
  • 47. How did you find the mix between fluids and monitoring? 1. I’d prefer more focus on fluids 2. The program was well balanced 3. I’d prefer more focus on monitoring
  • 48. How did you find the overall organisation of this meeting? Please give your rating between 1 (very bad) to 10 (excellent)
  • 49. How did you find the overall organisation of this meeting? Please give your rating between 1 (very bad) to 10 (excellent) 0 100 200 300 10 9 8 7 6 5 4 3 2 1 Vo ng Distribu on Thank You
  • 50. The registration fee for this meeting was too high 1. I Fully Disagree 2. I Disagree 3. I am Neutral 4. I Agree 5. I Fully Agree 0 100 200 300
  • 52.
  • 53. THANK YOU See You Next Year! 2nd IFAD – International Fluid Academy Day Saturday November 17th 2012

Editor's Notes

  1. Richard rogers = architect justitiepaleis en ook centre pompidou Mas neutelings riedijck Bob van reeth