1 - Principles of Fluid Stewardship:
- Understand the key principles of fluid stewardship to minimize fluid
accumulation and its associated complications, focusing on evidence-
based decision-making and improved patient outcomes.
- The 5 P’s of Fluid Stewardship: Understand the interplay between
Physician, Prescription, Pharmacy, Preparation, and Patient to ensure
safe and eSective fluid management within a multidisciplinary team.
- The 10 D’s of Fluid Stewardship: Master the comprehensive framework for
fluid stewardship: Definitions, Diagnosis, Distribution, Drug, Dose, Duration, De-escalation, Documentation, Diligence, and Discussion to guide fluid therapy decisions.
2 - Monitoring and Optimization
Learn strategies for volume status monitoring, fluid responsivenss, and
optimization using clinical tools such as dynamic and static hemodynamic parameters, BIA, intra-abdominal pressure (IAP) measurements, abdominal perfusion pressure (APP), and bedside ultrasound.
3 - Individualized Fluid Therapy:
Explore patient-centered approaches to intravenous (IV) fluid therapy,
tailoring the type, dose, and duration of fluids to the underlying pathology,
disease stage, and individual clinical needs within the ROSE framework.
4 - Prevention and management of adverse effects of fluids
- Gain insights into the early detection of adverse effects, such as electrolyte disturbances (e.g., hypernatremia, hyponatremia, hyperkalemia), acid-base disorders (e.g., metabolic acidosis or alkalosis), increased intra- abdominal pressure or intra-abdominal hypertension and abdominal compartment syndrome, and Fluid Accumulation Syndrome (FAS),
- Management of Adverse Effects of Fluids: Learn strategies to prevent, manage and treat adverse effects of fluids, including strategies in a 3 step approach (prevention, care and cure) for restricting unnecessary fluids, monitoring fluid balance, and addressing complications such as organ dysfunction,
