Session 1: Foundations of Fluid Stewardship

• Introduction to the 10 D’s of fluid therapy

• Principles of hemodynamic monitoring and fluid responsiveness

• Roundtable discussion with faculty

Session 2: Organ-Specific Fluid Considerations

• Fluids and the brain, lungs, heart, kidneys, liver, gut, trauma, and perioperative care

• Expert-led discussions on organ-protective fluid strategies

Session 3: Hands-On Skill Stations

• Bioelectrical Impedance Analysis (BIA)

• Transpulmonary Thermodilution (TPTD) and shock patterns

• Venous Excess Ultrasound Score (VExUS)

• Passive Leg Raising (PLR) for fluid responsiveness

Session 4: Interactive Case-Based Learning

• Stepwise clinical cases following the ROSE framework: Resuscitation, Optimization, Stabilization, and Evacuation

• Moderated discussion on fluid type, timing, dose, and monitoring

Session 5: Future Perspectives and Evaluation

• Lecture on the role of artificial intelligence in fluid management

• Post-course test and feedback

• Closing ceremony and recognition of top participants

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 effective 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.

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.

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.

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,

Advanced Strategies for Fluids per Pathology and Special Situations:

• Explore tailored fluid therapy approaches for specific conditions such as:

  • Cardiac failure: Limiting fluids, using vasopressors/inotrope

  • Respiratory failure: Avoiding excessive fluids to reduce pulmonary edema

  • Neurological conditions: Maintaining appropriate osmolarity and intracranial pressure (ICP)

  • Liver failure: Managing ascites and fluid balance with albumin

  • Kidney injury: Optimizing fluids to avoid overload while supporting renal perfusion

  • Gut pathology: Balancing third-space losses in intestinal obstruction or peritonitis

  • Burns: Addressing fluid shifts and preventing over-resuscitation.

  • Trauma: Applying damage control resuscitation principles

  • Perioperative care: Individualizing intraoperative and postoperative fluid therapy

  • Pediatrics: Adapting fluid strategies for children’s unique physiological needs.

Case-Based Learning:

• Engage in practical, real-world case discussions, applying fluid stewardship principles to scenarios such as sepsis, acute kidney injury, trauma, and perioperative care.

Establishing and Sustaining Fluid Stewardship Programs:

• Learn to build and sustain hospital-based fluid stewardship teams, promoting education, monitoring, and continuous quality improvement to optimize fluid therapy practices and prevent complications.

A distinguished panel of international and local experts in intensive care, anesthesia, and internal medicine will be announced soon. Stay tuned for more details on the speakers and session chairpersons.

Doctors

• Early Bird: €200

• Regular: €250

• Onsite: €300

Nurses, Studnts, and Participants from Low- and Middle-Income Countries

• Early Bird: €125

• Regular: €175

• Onsite: €200

This IFADmini workshop is intended for healtcare providers committed to advancing their understanding of fluid therapy through high-quality, evidence-based education.