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Send us a Text Message.Diesesmal geht es im Journal Club um eine Sekundäranalyse des CLASSIC Trials von Ahlstedt et al. aus Intensive Care Med: Effects of restrictive fluid therapy on the time to resolution of hyperlactatemia in ICU patients with septic shock. A secondary post hoc analysis of the CLASSIC randomized trial (doi.org/10.1007/s00134-024-07385-9). Geklärt werden sollte dabei die Frage, inwiefern die Flüssigkeitsmenge in der Behandlung des septischen Schocks die Laktatclearance beeinflusst. Mit im Studio dabei: Dr. Mona Jung-König, wissenschaftliche Mitarbeiterin der Klinik für Anästhesiologie am UKHD.
In this podcast Natalie Dodd discusses her article 'A clinical audit of the intravenous fluid therapy given to hospitalised horses'.
Dr. Conner and Topher discuss some of the basics of fluid therapy. Hosts: Bobbi Conner and Topher Conlan Producers: Bobbi Conner and Topher Conlan
Water is life's matter and matrix, and there is no life without it. Even the founding fathers of the US understood that water was essential to sustain life, with Benjamin Franklin being quoted as saying “When the well's dry, we know the worth of water.” Patients often present to veterinary hospitals with a dry well, and many of them may require diagnostics or surgery under sedation or anesthesia. You may have thought “I'll give twice the fluid maintenance rate to this patient”, but where did this value come from? How do we empirically create an appropriate fluid therapy plan for anesthetized patients? Today's guest on the NAVAS podcast, Dr. Jane Quandt, will guide our listeners through this very question. Dr. Quandt is a long-time veterinary educator at the University of Georgia College of Veterinary Medicine and boarded in both Anesthesia and Emergency Medicine. With her expertise and unique perspective, we will cover a wide range of topics regarding fluid therapy in anesthetized patients, including using pulse oximeters to determine fluid responsiveness, how to use fluids to appropriately treat anesthesia-induced hypotension, when and should you use a colloid, how to use hypertonic fluids, and fluid resuscitating patients with elevated sodium values. So, water-ver you do, be prepared to get your ears wet with this in-flow-mative conversation all about fluid therapy!For more information on this episode's topic, we invite our listeners to check out the 2013 AAHA/AAFP Fluid Therapy Guidelines for Dogs and Cats, specifically the section on Fluids and AnesthesiaIf you like what you hear, we have a couple of favors to ask of you:Become a member at North American Veterinary Anesthesia Society (NAVAS) for access to more anesthesia and analgesia educational and RACE-approved CE content.Spread the word. Share our podcast and FB/IG posts, re-tweet, post something on a network or a discussion forum, or tell a friend over lunch. That would really help us achieve our mission: Reduce mortality and morbidity in veterinary patients undergoing sedation, anesthesia, and analgesia through high-quality, peer-reviewed education.We also ask our listeners to save the date for the NAVAS Virtual Spring Symposium on April 27th and 28th, 2024. For more information about the program, visit the NAVAS Spring Symposium website. Several speakers will discuss blood pressure management under anesthesia, which will include fluid therapy. Registration starts Feb. 1.Thank you to our sponsor, Dechra - learn more about the pharmaceutical products Dechra has to offer veterinary professionals, such as Zenalpha.If you have questions about this episode or want to suggest topics for future episodes, reach out to the producers at education@mynavas.org.All opinions stated by the host and their guests are theirs alone and do not represent the thoughts or opinions of any corporation, university, or other business or governmental entity.The NAVAS Podcast is published monthly on or near the 15th of the month.Special thanks to Chris Webster for editing, producer Maria Bridges, and Saul Jimenez for IT support in making this podcast a reality.
JAMA Senior Editor Kristin Walter, MD, MS, speaks with Fernando Zampieri, MD, PhD, assistant professor in the Department of Critical Care Medicine at the University of Alberta in Alberta, Canada, about fluid therapy in critically ill adults with sepsis. Related Content: Fluid Therapy for Critically Ill Adults With Sepsis
Editor's Summary by Anthony Charles, MD, MPH, Associate Editor of JAMA, the Journal of the American Medical Association, for the June 13, 2023, issue. Related Content: Audio Highlights
The team has no chance to rest and must examine another victim who was found disconcertingly near the first. They have no choice but to work closely with FBI Special Agent Rachel Glenn, a highly capable senior liaison and investigator who seems to be scrutinizing their every move.Based on a scenario by Allan Goodall.Support The Work at: https://ko-fi.com/sorryhoneyVisit Us At: https://sorryhoney.captivate.fm/Join our Discord to tell us all the things we did wrong: https://discord.gg/XpUbfhCXVVFollow us on Twitter for additional content: https://twitter.com/SorryHoneyCastLikewise, Instagram: https://www.instagram.com/sorryhoneypodcast/Published by arrangement with the Delta Green Partnership. The intellectual property known as Delta Green is a trademark and copyright owned by the Delta Green Partnership, who has licensed its use here. Illustrations by Dennis Detwiller are reproduced by permission. The contents of this podcast are © GiggleDome Productions, LLC, excepting those elements that are components of Delta Green intellectual property.
In this episode, we will discuss the peri-anesthetic fluid management of Raisin, a 16-yr-old Siamese cat, previously diagnosed with Stage 3 chronic kidney disease. Raisin requires general anesthesia for a dental scaling due to periodontitis. We will follow Raisin from preanesthetic examination and assessment through anesthesia and recovery, with a focus on anesthetic concerns and fluid therapy goals for a renal patient. The listener will learn the benefits of pre-anesthetic fluid administration, what fluid type and rate are most appropriate for this patient, and whether fluid therapy should be continued following anesthesia.
This episode covers the essentials around IV fluids including hydration assessment, resus, maintenance and a bit of paediatrics
VetFolio - Veterinary Practice Management and Continuing Education Podcasts
Providing fluid therapy for horses can seem daunting, given their size and fluid needs, particularly when on the farm. During this podcast, we will discuss different options for fluid therapy for horses including traditional intravenous fluid therapy as well as enteral and rectal fluid therapy – all of which have advantages and disadvantages, depending on the patient.
In this podcast, Kate Hepworth-Warren discusses the use of hydroxyethyl starch solutions in equine fluid therapy.
In this episode, Drs. Kira Epstein and Naomi Crabtree of the University of Georgia College of Veterinary Medicine discuss the concepts and challenges of using fluid therapy in equine practice. Disease Du Jour is brought to you in 2022 by Merck Animal Health. See acast.com/privacy for privacy and opt-out information.
Join Yvonne Brandenburg, RVT, VTS SAIM and Jordan Porter RVT, LVT, VTS SAIM as we talk about: Crystalloid and Colloid fluid therapy and we do medical math! Thanks so much for tuning in. Join us again next week for another episode! Want to earn some RACE approved CE credits for listening to the podcast? You can earn between 0.5-1.0 hour of RACE approved CE credit for each podcast episode you listen to. Join the Internal Medicine For Vet Techs Membership to earn and keep track of your continuing education hours as you get your learn on! Join now! http://internalmedicineforvettechsmembership.com/ Get Access to the Membership Site for your RACE approved CE certificates Sign up at https://internalmedicineforvettechsmembership.com Get Access to the Technician Treasure Trove Sign up at https://imfpp.org/treasuretrove Thanks for listening! – Yvonne and Jordan
In this VETgirl online veterinary continuing education podcast, Amy Newfield, CVT, VTS (ECC) reviews fluid therapy in veterinary medicine. Does it matter what type of IV fluids you reach for? Should you reach for an isotonic fluid? What about a colloid? Does IV fluid therapy make a difference in patients regardless of what type of IV fluid bag you reach for?
Simplifying Fluid Therapy: Critical Care for the Critically Ill
Simplifying Fluid Therapy: Critical Care for the Critically Ill
Simplifying Fluid Therapy: Critical Care for the Critically Ill
Simplifying Fluid Therapy: Critical Care for the Critically Ill
Simplifying Fluid Therapy: Critical Care for the Critically Ill
Simplifying Fluid Therapy: Critical Care for the Critically Ill
In this Audio Summary, Kristina discusses the evidence behind the recommendation to reduce fluid therapy rates of cats and dogs. Read the full Knowledge Summary here. Audio Summaries are a free resource that enables vets and vet nurses to access and digest relevant and up-to-date evidence quicker and easier! A time-saving way to make better and faster evidence-based decisions.
This hugely important talk was the centerpiece of EBPOM 2019 and, appropriately enough, it focuses on a big topic for us here at TopMedTalk; the future of fluid therapy. Originally given as the EBPOM 2019 Ernest Henry Starling plenary lecture the talk is complimented by this piece which was recorded on the same day: https://www.topmedtalk.com/desirees-roundtable-fluids-in-the-2020s/ Where is the latest thinking on fluid therapy, what new evidence and understandings do we now have? Presented by Dr Andrew Shaw, Chairman, Department of Anesthesiology and Pain Medicine at The University of Alberta, Edmonton, Alberta and Zone Clinical Department Head for Anesthesia, Alberta Health Services Edmonton Zone. He is also a Fellow of the Royal College of Anaesthetists (UK), the American College of Critical Care Medicine and the Faculty of Intensive Care Medicine (UK).
در اپیزود قبل در مورد گاستروانتریت، دهیدریشن و مایع درمانی خوراکی با او.آر.اس صحبت کردیم. در اپیزود هفدهم همراه با جناب آقای پروفسور سید ابوالحسن سیدزاده، فوق تخصص نفرولوژی کودکان، ادامه این موضوع رو با تمرکز بیشتر روی مایع درمانی داخل ویدی، پی میگیریم. اگر اپیزود شانزدهم اوردرکست رو نشنیدید، بهتره قبل از شنیدن این قسمت سراغ اون برید.
در این اپیزود و اپیزود بعد همراه جناب آقای پروفسور سید ابوالحسن سیدزاده، فوق تخصص نفرولوژی کودکان، هستیم تا نحوه برخورد با گاستروانتریت و دهیدریشن ناشی از اون و مایعدرمانی در کودکان رو یاد بگیریم.
ECC specialist Dr. Rob Webster gives a beautiful explanation of the key principles of fluid therapy for shock patients, with a focus on the ‘dry' hypovolemic patient. --- Send in a voice message: https://anchor.fm/vet-vault/message
Small Animal Fluid Therapy, Acid-Base and Electrolyte Disorders is a short text designed to highlight some of the more important aspects of fluid therapy, acid-base and electrolyte disorders, in an easy-to-read, concise format, facilitating rapid access to core information. The author, Dr Elisa Mazzaferro, is a well-respected, internationally recognised expert, and widely published author in the field of veterinary emergency and critical care. The book opens with a useful chapter on fluid compartments and total body water, and presents a concise review of the basic principles of body fluid compartments, forces of osmolality, osmosis and diffusion, and then advances to the physiological response to hypovolaemia, and fluid balance. The chapter also presents the notion of fluid therapy requirements based on energy expenditure, which is an important step in preventing excesses of fluid administration in the critically ill patient and aligns well with the most recent fluid therapy guidelines from the American Animal Hospital Association. This is followed by an excellent chapter on techniques and complications of vascular access, which is enhanced by the inclusion of numerous high-quality images and step-by-step guides to placement of peripheral venous, central venous, intra-osseous, arterial and cut-down techniques. The chapter on blood banking and transfusion medicine is likewise excellent, and provides a useful guide to blood collection, processing and administration. The book concludes with a brief description of common electrolyte disorders, and parenteral nutrition, followed by a short review of the types of shock and the “rule of twenty”. Several case-studies are also presented, highlighting the various uses of fluid therapy in the critical and emergency patient. Overall, the text is very easy to read. Being a handbook, it lacks the depth of physiology and pathophysiology of more comprehensive texts. Those studying for advanced examinations would be better served by more exhaustive references. In addition, due to the age of the text, some recommendations – particularly those on colloid therapy, and monitoring (e.g. central venous pressure) have now been superseded by advances in medical knowledge and should therefore be disregarded. However, the book is not without merit – even given its age – with excellent chapters on vascular access and transfusion therapy. The inclusion of many tables, charts and flow-diagrams, along with excellent images, make this book a suitable reference for those wanting an introductory text for small animal fluid therapy.
This hugely important talk was the centerpiece of EBPOM 2019 and, appropriately enough, it focuses on a big topic for us here at TopMedTalk; the future of fluid therapy. Originally given as the EBPOM 2019 Ernest Henry Starling plenary lecture the talk is complimented by this piece which was recorded on the same day: https://www.topmedtalk.com/desirees-roundtable-fluids-in-the-2020s/ Where is the latest thinking on fluid therapy, what new evidence and understandings do we now have? Presented by Dr Andrew Shaw, Chairman, Department of Anesthesiology and Pain Medicine at The University of Alberta, Edmonton, Alberta and Zone Clinical Department Head for Anesthesia, Alberta Health Services Edmonton Zone. He is also a Fellow of the Royal College of Anaesthetists (UK), the American College of Critical Care Medicine and the Faculty of Intensive Care Medicine (UK).
This podcast covers the physiological principles of goal directed fluid therapy, fluid responsiveness, the stressed system and the glycocalyx. Originally streamed live on www.topmedtalk.com Presented by Dr Joff Lacey with his guest Dr Randall Dull of the University of Illinois, live from the ASA in 2017.
Host: Dr. Bobbi Conner Guest: Dr. Leo Londoño Producer: Topher Conlan Music:www.bensounds.com
In this episode of the IJGC podcast, Editor-in-Chief, Dr. Pedro Ramirez, is joined by Dr. Gabriel Mena (Twitter: @GabeMenaMD) from MD Anderson Cancer Center in Houston, Texas, to talk about goal-directed fluid therapy and multi-modal analgesia in ERAS anesthesia. They discuss the role of anesthesiologists and the integration of anesthesia in the success of an enhanced recovery program.
Podcast 100 - Hurra, hurra, hurra!!! - är en inspelning av Johan Mårtensson, Karolinska Solna, som informerar om Classic-studien (Conservative vs. Liberal Approach to Fluid Therapy of Septic Shock in Intensive Care)
This podcast covers the physiological principles of goal directed fluid therapy, fluid responsiveness, the stressed system and the glycocalyx. Originally streamed live on www.topmedtalk.com Presented by Dr Joff Lacey with his guest Dr Randall Dull of the University of Illinois, live from the ASA in 2017.
Back in the studio after our Christmas shopping Brian and I are joined by Simon Cook, one of our fabulous lecturers in Emergency and Critical Care here at the RVC. We talk to Simon about fluid therapy and what is changing. Some papers of interest: https://www.ncbi.nlm.nih.gov/pubmed/27914759 https://www.ncbi.nlm.nih.gov/pubmed/27914756 In fact take a look at the whole of that issue of Vet Clinic of North America: Small Animal Practice If you have any comments about this podcast, please get in touch: email dbarfield@rvc.ac.uk; tweet @dombarfield. We would greatly appreciate your time to rate us on Apple podcast or Acast and kindly write us a review.
Back in the studio after our Christmas shopping Brian and I are joined by Simon Cook, one of our fabulous lecturers in Emergency and Critical Care here at the RVC. We talk to Simon about fluid therapy and what is changing. Some papers of interest: https://www.ncbi.nlm.nih.gov/pubmed/27914759 https://www.ncbi.nlm.nih.gov/pubmed/27914756 In fact take a look at the whole of that issue of Vet Clinic of North America: Small Animal Practice If you have any comments about this podcast, please get in touch: email dbarfield@rvc.ac.uk; tweet @dombarfield. We would greatly appreciate your time to rate us on Apple podcast or Acast and kindly write us a review.
This podcast is an exclusive discussion regarding the second session at The International Fluid Academy Day (IFAD) in Amsterdam. This in depth discussion is a reaction to the session at IFAD and contains insights into the following topics; 'Everything you need to know about fluid therapy', results from some of the most recent trials and 'How to set-up a fluid guideline'. The team also reflect a little more on the first session. Presented by Joff Lacey with Monty Mythen and Henry Howe. -- Streamed live from the International Fluid Academy Day (IFAD) in Amsterdam on www.topmedtalk.com You can also join in with IFAD for free online https://www.fluidacademy.org/
This podcast covers the physiological principles of goal directed fluid therapy, fluid responsiveness, the stressed system and the glycocalyx. Originally streamed live on www.topmedtalk.com and available here in a slightly longer format: https://www.topmedtalk.com/live-from-boston-asa-2017-physiological-principles-of-goal-directed-fluid-therapy/ Dr Joff Lacey interviews his guest Dr Randall Dull of the University of Illinois, live from the ASA in 2017.
"Fluid therapy in emergency surgery" - originally streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018 on www.topmedtalk.com Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com Presented by Mark Edwards, Consultant in Anaesthesia and Perioperative Medicine at The University Hospital Southampton NHS Foundation Trust.
Dr. Mike Brogan interviews Dr. Mauro Oddo on the most recent ESICM practice guidelines on general fluid resuscitation management, hyperosmolar therapies, and the use of fluids in treating delayed cerebral ischemia for neurointensive care patients. The NCS Podcast is the official podcast of the Neurocritical Care Society. Our senior producer is Jim Siegler. Our production staff includes Joshua Levine, Becca Stickney, Michael Brogan, Starane Shepherd, Benjamin Miller, and Ramani Balu. Music by Lee Rosevere. Oddo M, Poole D, Helbok R, Meyfroidt G, Stocchetti N, Bouzat P, Cecconi M, Geeraerts T, Martin-Loeches I, Quintard H, Taccone FS, Geocadin RG, Hemphill C, Ichai C, Menon D, Payen JF, Perner A, Smith M, Suarez J, Videtta W, Zanier ER and Citerio G. Fluid therapy in neurointensive care patients: ESICM consensus and clinical practice recommendations. Intensive care medicine. 2018;44:449-463.
Author: Chris Holmes, MD Educational Pearls: There is a risk of cerebral edema in pediatrics with DKA if over resuscitated. Recent study comparing normal saline vs. ½ normal saline showed no difference in rates of cerebral edema regardless of rate of infusion. Recommend sticking with a fluid resuscitation protocol you are familiar with (i.e., 2 rounds of 10cc/kg bolus of NS). References Glaser, N. S., Ghetti, S., Casper, T. C., Dean, J. M., & Kuppermann, N. (2013). Pediatric Diabetic Ketoacidosis, Fluid Therapy and Cerebral Injury: The Design of a Factorial Randomized Controlled Trial. Pediatric Diabetes, 14(6), 435–446. http://doi.org/10.1111/pedi.12027
This podcast focuses on the changing role of goal directed fluid therapy in enhanced recovery programmes. There is discussion around the Perioperative Quality Initiative guidelines, assessment of risk and how this relates specifically to laparoscopic surgery. Updates on relevant trials and the importance of risk stratifying patients to ensure goal directed fluid therapy is used on those that stand to really benefit. Presented by Monty Mythen, Mike Grocott and Joff Lacey, who are joined by Dr Tim Miller, Duke University Medical Centre, and Professor Mike Scott, Virginia Commonwealth University.
Joff Lacey talks to Dr Randall Dull (University of Illinois) to pick apart the physiological principles of intraoperative fluid resuscitation and the need to rethink our approach.
Podcast 10: Monty Mythen, Mike Grocott and Joff Lacey talk to Dr Tim Miller (Duke University Medical Centre) about a recent study investigating the impact of GDFT on postoperative acute kidney injury in the colorectal patient.
We will be discussing Fluid Therapy, which is a major part of nursing school and the NCLEX. We will also be going over some great tips, and tricks for nursing school and the NCLEX!
Dr Chris Gildersleve, (Consultant Paediatric Anaesthetist, Cardiff) discusses intravenous fluid therapy in children, and the NICE guidelines with Dr Sumit Das (Consultant Paediatric Anaesthetist, Oxford).
WSP - P Maitland, K FEAST Trial Perspectives On Fluid Therapy Podcast 102913 by OPENPediatrics
There are some well know standard principles of fluid therapy with different approaches to the treatment of hypovolaemia and dehydration. Regardless of the indication, individual patients may have additional problems or considerations that should influence our fluid therapy approach. In this episode I respond to questions sent in by listeners with respect to findings that should influence our fluid therapy approach - pulmonary contusions and heart murmurs. I then go on to discuss the role of and approach to fluid therapy in patients exposed to renally excreted nephrotoxins. Click Here For Your FREE Copy of the Transcript of this Episode For online training material on Parenteral Fluid Therapy and Hypovolaemia, Shock and Dehydration, CLICK HERE.
Intravenous (IV) fluid therapy is one of the most commonly used therapies for hypotension in veterinary medicine. Despite numerous research studies, there is still a question as to what fluid type is best. Should we be reaching for crystalloids, colloids, hemoglobin oxygen carriers (HBOCs), or canine specific albumin (CSA)? In this podcast, VetGirl will evaluate the types of fluid options, indications, and clinical pearls to help you guide fluid therapy in your practice.
Intravenous (IV) fluid therapy is one of the most commonly used therapies for hypotension in veterinary medicine. Despite numerous research studies, there is still a question as to what fluid type is best. Should we be reaching for crystalloids, colloids, hemoglobin oxygen carriers (HBOCs), or canine specific albumin (CSA)? In this podcast, VetGirl will evaluate the types of fluid options, indications, and clinical pearls to help you guide fluid therapy in your practice.
Presented by William Oh, MD
Presented by William Oh, MD
Listen to Professor John Myburgh's fantastic lecture on one of the hottist topics in critical care right now: Fluid Therapy.