The IFA Open Access Book has already been downloaded 600.000+ times

This open access book, published by Springer under the Open Access CC BY 4.0 Licence in collaboration with the International Fluid Academy (IFA, www.fluidacademy.org), explores rationalized intravenous fluid therapy for critically ill patients. Despite being commonly prescribed in inpatient settings, intravenous fluids are often administered without evidence-based guidelines, neglecting essential considerations such as the fact they are drugs, that need proper dosing, duration, indications, contraindications, side effects, and de-escalation. This book fills this knowledge gap.

Each chapter starts with a clinical vignette and a related question, followed by a concise summary abstract, key learning points, main text, and a conclusion that addresses the clinical question and provides relevant take-home messages. Additionally, every chapter includes an IFA commentary referencing the latest literature and evidence. The book begins with an introductory chapter that provides definitions and terminology, followed by four sections.

The first section covers the fundamentals of intravenous fluid therapy, including fluid compartments in sick patients, fluid bolus dynamics, heart-lung interactions, fluid challenge, fluid responsiveness, arterial blood gas analysis based on traditional and Stewart concepts, and electrolyte physiology relevant to clinical issues. The second section discusses commercially available intravenous fluids, while the third section focuses on fluid therapy in specific clinical situations. The final section introduces the concepts of fluid stewardship and appropriate fluid prescription.

Happy Reading

Advantages of individualised hemodynamic management

Better understanding hemodynamics

Continuous hemodynamic monitoring not only allows the detection of blood pressure drops immediately, it also helps to guide fluid administration. Obtain further hemodynamic parameters like cardiac output and its determinants can be useful for optimising individual goal-directed therapy ^{1, 2}

Afbeelding1

Proven in The outcome study of Salzwedel et al:

Studies:

Salzwedel et al. Perioperative goal-directed hemodynamic therapy based on radial arterial pulse pressure variation and continuous cardiac index trending reduces postoperative complications a‑er major abdominal surgery: a multi-center, prospective, randomized study. Critical Care 2013;17:(191).
Grocoet al. Perioperative increase in global blood flow to explicit defined goals and outcomes a‑er surgery: a Cochrane systematic review. British Journal of Anaesthesia. 2013;111(4):535-48.

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Written by Administrator on Tuesday, 24 November 2020. Hits 30014