On-Demand Webinars
On-demand webinars provide fluid management learning opportunities to fit the busy schedule of health care professionals.
To participate, simply click on the links below:
Perioperative Fluid Management: Does it Improve Outcomes?
Tong Joo (TJ) Gan, MD, MHS, FRCA, FFARCS(I)
Duke University School of Medicine
Credit is no longer available for this activity
The Goal-Directed Use of Fluids and Monitors in the Perioperative Period
Gerard R. Manecke Jr, MD
University of California, San Diego School of Medicine
Credit is no longer available for this activity
Fluid Management in Critically Ill Patients
Aryeh Shander, MD, FCCM, FCCP
Mt. Sinai School of Medicine
Expires: May 25, 2012
Listen to questions captured from live broadcast
Can Esophageal Doppler be used to guide both crystalloid and colloid supplementation in a goal-directed protocol?
Are lactated Ringer's and normal saline solutions interchangeable?
Are early goal-directed therapy endpoints applicable to other critically ill patients undergoing surgery with conditions such as myocardial ischemia or cardiomyopathy with poor EF?
I have a patient in the ICU for 3 days with sepsis and a positive fluid balance of 8 L. Should I restrict her fluids prior to surgery to try to avoid postsurgical fluid overload?
Is guided fluid management gaining acceptance and will it become standard practice in the future?
Which clinical conditions present the most difficulty for management with goal-directed fluid therapy?
How does pre-existing renal disease influence the choice of fluid supplementation?
Should we be concerned about treating with albumin? Many therapeutic drugs bind to this protein which could alter the serum drug concentration and PK characteristics.
Is there clinical evidence that hospitalized patients with good fluid balance are more resistant to sepsis?
Are there guidelines for managing special cases, such as renal failure, traumatic brain injury, or obesity?
Are there special considerations in managing patients with atherosclerosis or poorly-controlled hypertension?
You presented bowel ischemia/edema as a key determinant of morbidity. What is the best way to measure bowel pressure and how often should it be monitored?
Gelatin seems to be quite popular for resuscitation in some parts of the world. Is it advantageous for particular indications?
What is the relationship between viscosity of the administered fluid and tissue oxygenation, and is this something we should be concerned about if our patient is euvolemic?
Should we routinely use 6% HES130 instead of 10% HES200?
Do you see a role for 6% HES130/0.4 in critical care? If so, what is it?
If we are worried about intra-abdominal pressures and translocation of the bacteria should we start patients with high bladder pressures on oral antibiotics to prevent translocation of the bacteria into the bloodstream?
You were talking about albumin affecting thrombin. Is this because albumin affects calcium which affects clotting?
