The Abdominal Compartment Society (WSACS)

👉Join the @WSACS via the online repository with #FOAMed content - sign up for FREE lifetime membership and check out the new App for Android and iOS #IFAD2022 #WCACS2023 wsacs.org/join/ or wsacs.mn.co/feed

🎤 Speaker Spotlight: Debra Child-Wheeler 🇺🇸 We’re thrilled to welcome Debra Child-Wheeler (USA), a clinical leader who specializes in identifying core therapeutic drivers and developing strategies to overcome barriers in the safe and effective adoption of medical devices. Topic: The Pharmacist’s Role in Fluid Stewardship With an exceptional ability to lead cross-functional teams, manage through influence, and create strategic partnerships, Debra is also a skilled communicator who executes market and therapy development strategies that deliver value for both companies and customers. 💡 Specialties: Medical Devices | Medical Affairs | Device Innovation KOL Development | Clinical Strategy | Evidence Generation Product Launches | Clinical Education | Business Development At IFADmini Vancouver, Debra will share her insights on clinical strategy, innovation, and how to successfully bridge the gap between technology and patient care. 📅 Meet Debra Child-Wheeler at IFADmini Vancouver — a full-day workshop to break the myths around fluid management and stewardship. 💰 Bring your hospital team and save! Group discounts available — contact info@fluidacademy.org for details. 🔗 book.stripe.com/cNieVe5oygMq1N… #IFADmini #FluidStewardship #FluidManagement #CriticalCare #Vancouver2025 #WCICC #ICU #MedicalDevices #Innovation

🌍 Meet the Speaker – IFADmini Vancouver We are proud to introduce Prof. Manu Malbrain (Belgium), co-founder and president of the International Fluid Academy (IFA) and co-founder, past president, and current treasurer of the Abdominal Compartment Society (WSACS). With a career spanning ICU leadership, medical directorship, and academic research, Prof. Malbrain is an internationally recognized authority in fluid management, abdominal hypertension, and critical care research. He currently serves as Chief Medical Officer at Medaman (Belgium), an EHDEN-certified SME in medical data management, and as Professor of Critical Care Research at the Medical University of Lublin, Poland. 📅 Don’t miss his insights at IFADmini Vancouver on Monday, September 15th, held as a pre-conference workshop at the World Congress of Intensive & Critical Care (WCICC). 👉 Secure your spot today and join us in shaping the future of fluid stewardship and critical care. 🔗 book.stripe.com/cNieVe5oygMq1N… #IFADmini #IFADminiVancouver #WCICC2025 #FluidStewardship #CriticalCare #POCUS #IntensiveCare

🚨 New ESICM Guideline Published! 🚨 We’re proud to announce the release of the European Society of Intensive Care Medicine (ESICM) Clinical Practice Guideline on Fluid Therapy – Part 3: Fluid Removal at the De-escalation Phase (Intensive Care Medicine, Aug 2025). This publication is of particular significance for the International Fluid Academy (IFA), as three members of our Executive Board — Prof. @Manu_Malbrain, Prof. Xavier Monnet, and Dr. Adrian Wong — contributed as co-authors. Their involvement underscores IFA’s commitment to advancing evidence-based practice in fluid stewardship and critical care. 🔑 Key Recommendations: ✅ Actively pursue fluid de-escalation once the acute resuscitation phase is over ✅ Consider protocolized diuretic use over usual care to safely achieve fluid removal (moderate-certainty evidence) ❌ Avoid routine ultrafiltration or extracorporeal fluid removal, unless there are other clinical indications (low-certainty evidence) 📊 These recommendations are based on evidence from 13 randomized controlled trials, providing practical guidance for intensivists worldwide on how to handle fluid overload in critically ill patients with shock. 👉 Read the full article now on our members portal and join the conversation on how to apply these insights in daily practice. 🔗 fluidacademy.mn.co/posts/european… Publisher: link.springer.com/article/10.100… #IFADmini #FluidStewardship #CriticalCare #ESICM #Guidelines #IntensiveCare #FluidManagement

🧠 How Does Sodium in IV Fluids Affect the Brain After Stroke? 🧪 A new preclinical study published in Scientific Reports explores how fluid sodium concentration impacts the brain, lungs, and kidneys in acute ischemic stroke (AIS). Using an experimental stroke model in rats, researchers compared four IV fluids: 🔹 Isotonic saline (0.9%) 🔹 Hypotonic saline (0.45%) 🔹 Hypertonic saline (1.5%) 🔹 5% Glucose 💡 Key Findings – Brain Tissue: ✅ Isotonic saline preserved extracellular matrix integrity, with significantly higher levels of versican and hyaluronan. ❌ Hypertonic saline triggered inflammation: increased IL-1β, VCAM-1, and ZO-1 expression, indicating endothelial activation and potential BBB disruption. Hypotonic and glucose-based fluids showed mixed effects, with glucose associated with lower inflammatory markers but not with matrix preservation. 📊 These findings suggest that isotonic fluids may best protect brain tissue post-stroke by maintaining osmotic balance and minimizing inflammatory responses. Read the full study on the academy! 🔗 fluidacademy.mn.co/posts/effects-… 📚 Bessa CM, Vilardo AL, Peruchetti DB, et al. Sci Rep. 2025;15:26496. Fig. 1. A: Representative photomicrographs of the cerebral cortex and choroid plexus. Asterisks indicate the extracellular matrix organization pattern stained in blue (hyaluronan) within the cerebral cortex. B: Quantification of versican, syndecan, decorin, and hyaluronan expression. C: mRNA expression of interleukin (IL)-1β, vascular cell adhesion molecule-1 (VCAM-1), and zonula occludens-1 (ZO-1) in brain tissue. #StrokeResearch #FluidTherapy #Neuroinflammation #CriticalCare #FluidStewardship

💧💧Manejo de LÍQUIDOS en hipertensión intraabdominal🎯 MANU MALBRAIN Entendiendo la fisiopatología de la hipertensión intraabdominal PIA) y el síndrome compartimental abdominal (SCA). Síndrome de permeabilidad aumentada global y la fuga capilar. 💧El retorno venoso alterado en la PIA, la combinación de ventilación con presión positiva y PEEP puede producir efectos dramáticos en la función cardiovascular y renal. 💧Los líquidos deben titularse inicialmente en función de los indicadores de precarga volumétrica y los parámetros hemodinámicos funcionales y que deben reducirse gradualmente cuando aumenta la PIA. 💧La fase de desresucitación, en determinados pacientes puede haber un lugar potencial para soluciones hipertónicas (como solución salina lactada hipertónica o albúmina al 20 %) junto con un tratamiento combinado de diuréticos o ultrafiltración mediante terapia de reemplazo renal. 💧Los pacientes tratados con abdomen abierto pueden perder cantidades sustanciales de líquidos y nitrógeno (hipercatabólico) que deben ser reemplazados con líquidos de reemplazo isotónicos y soporte nutricional. 👇👇👇👇👇 fluidacademy.mn.co/posts/rational…. 🎯 Download chapter PDF PDF: link.springer.com/chapter/10.100… 🤎 Join WSACS - The World Society of the Abdominal Compartment Syndrome: wsacs.mn.co/share/J-TZ4Nx5…

💧⏺️Soluciones equilibradas: Elección de búfer.⚕️🎯 ▪️Libro: Rational Use of Intravenous Fluids in Critically Ill Patients 📕 Editors: Manu L.N.G. Malbrain, Adrian Wong, Prashant Nasa, Supradip Ghosh. Para ayudar a mantener el eq uilibrio ácido-base en los pacientes. La elección del amortiguador puede afectar la efectividad y seguridad de la solución. ⏺️La solución ideal para mantener el pH debe tener una fuerte diferencia iónica de alrededor de 24-28 mmol / L, mientras que la solución salina anormal tiene una diferencia anionica de cero y por la presente puede inducir acidosis metabólica hiperclorémica. 💧 El lactato, el malato, el acetato, el gluconato y el piruvato son opciones de amortiguación potenciales para soluciones equilibradas. 💧El lactato es un amortiguador de uso común en soluciones equilibradas tiene un pKa de 3,9, lo que le permite amortiguar las condiciones ácidas de manera efectiva. 💧El lactato también se metaboliza a bicarbonato en el hígado, proporcionando un mecanismo adicional para regular el equilibrio ácido-base. 💧El acetato tiene un pKa de 4,8 y puede amortiguar las condiciones ácidas de manera efectiva. También se metaboliza en el hígado a bicarbonato. El acetato generalmente se considera seguro, pero grandes dosis pueden causar acidosis metabólica. ⏺️ El gluconato tiene un pKa de 4.4 y puede amortiguar las condiciones ácidas y básicas. Se metaboliza a CO2 y agua y generalmente se considera seguro. Sin embargo, el gluconato puede aumentar los niveles de potasio, lo que puede ser una preocupación en pacientes con insuficiencia renal. ⏺️El piruvato tiene un pKa de 2.5 y puede amortiguar las condiciones ácidas de manera efectiva. Se metaboliza a bicarbonato en el hígado y se ha investigado para su uso en líquidos de reanimación. Sin embargo, altas dosis de piruvato se han asociado con inestabilidad hemodinámica y acidosis metabólica. ⏺️▪️En general, la elección del amortiguador en soluciones equilibradas debe basarse en las necesidades y el perfil de seguridad del paciente individual. @Fluid_Academy 👇👇👇👇👇👇 link.springer.com/chapter/10.100… 🔓🔑 acrobat.adobe.com/link/review?ur…

💉Misuse of IV fluids contributes to fluid overload, acute kidney injury, abdominal hypertension, and unnecessary ICU admissions. It’s time to treat fluids like the drugs they are — with the same care, stewardship, and precision. Join us in Vancouver and break the myths about fluid management and stewardship! Be part of a full-day IFADmini packed with: ✅ Expert lectures from global leaders in fluid management ✅ Hands-on skill stations ✅ Real-world case discussions ✅ The latest in fluid stewardship to improve patient outcomes 📅 September 15, 2025 📍 Pre-conference workshop at the World Congress of Intensive & Critical Care 🎯 Break the myths. Change the practice. Improve outcomes. 📌 Secure your spot now! ➡️ eventbrite.com/e/ifadmini-van… #FluidManagement #FluidStewardship #ICU #PatientCare #EvidenceBasedMedicine #MedicalEducation

Did you know⁉️ 20% of patients receiving IV fluids suffer from deleterious effects due to inappropriate use. 📊 Surveys show significant knowledge gaps among healthcare providers — with average scores hovering around 50%. It’s time to close the gap. We’re honoured to welcome Prof. Jorge Hidalgo — President of the World Federation of Intensive & Critical Care, and Professor & Head of the Division of Critical Care at Karl Heusner Memorial Hospital in Belize City, Belize — as one of our distinguished speakers at IFADmini Vancouver! 🇨🇦 Meet all our speakers and explore the full program here: fluidacademy.mn.co/events/ifadmin… Join us on September 15 for a full day of: ✅ Expert lectures from global leaders ✅ Hands-on skill stations ✅ Real-world case discussions ✅ The latest in fluid stewardship to improve patient outcomes 📅 Date: September 15, 2025 📍 Location: Vancouver Convention Centre, Canada (Pre-conference workshop at WCICC) 🔗 Secure your spot now: book.stripe.com/cNieVe5oygMq1N… #IFADmini #FluidStewardship #FluidChampion #CriticalCare #ICU #WCICC2025 #MedicalEducation #Vancouver #HealthcareExcellence

🌐 Registrations are open! 🌐 💧 Introduction to the Fluid Champion Course: Misconceptions, Myths & Misunderstandings 📅 Tuesday | 5:00 – 7:00 PM CEST 🎥 Special Encore Session – Back by Popular Demand! Missed our last webinar or want to revisit the highlights? Here’s your chance to join an exclusive replay of our highly acclaimed session with Prof. Dr. Manu Malbrain and Dr. Niels Van Regenmortel, co-founders of the International Fluid Academy. 🔍 What you’ll learn: ✅ The fundamentals of fluid homeostasis, IV fluid properties, and clinical prescription strategies ✅ Practical tips on maintenance, resuscitation, and replacement fluids — plus a teaser on Fluid Accumulation Syndrome (FAS) ✅ The truth behind common myths, misunderstandings, and misconceptions in fluid prescribing 💡 Perfect as an introduction to the Basic Fluid Champion Course and a must-attend for anyone involved in fluid management. 📌 Secure your spot today! 🔗 us06web.zoom.us/webinar/regist… #FluidChampion #FluidStewardship #CriticalCare #MedicalEducation #IFAWEBINAR #CEFS #ICU #HealthcareEducation

💡 Fluid Management in Acute Brain Injury – Why One Size Doesn’t Fit All Did you know that fluid strategies in traumatic brain injury (TBI) are often borrowed from general ICU practice — and that this might be doing more harm than good? 🧠💧 In their latest Intensive Care Medicine editorial, Niels Van Regenmortel & Mathieu Van der Jagt dissect the evidence and challenge common assumptions: 🔹 Resuscitation: Balanced crystalloids may help in general ICU cases but could worsen cerebral edema in TBI. Isotonic saline remains safest — but watch for hyperchloremia. 🔹 Maintenance: Hypotonic glucose solutions can be risky in brain-injured patients. 🔹 Alternatives: Balanced hypertonic solutions show promise, but more research is needed. Albumin (hypotonic) is discouraged in TBI. Key takeaway: Neurocritical patients have unique physiology — fluid therapy must be tailored, not copied from general ICU guidelines. 📖 Read the full summary and access Figures 1 & 2 in our members portal: 👉 fluidacademy.mn.co/posts/maintena… Reference: Van Regenmortel N, Van der Jagt M. Intravenous fluids in acute brain injury: time to rethink the recipe? Intensive Care Med. 2025. doi:10.1007/s00134-025-08050-5 DOI: 10.1007/s00134-025-08050-5 - link.springer.com/article/10.100… #NeurocriticalCare #FluidManagement #TBI #CriticalCare #FluidAcademy #ICU

🚨 Speaker Spotlight – Dr. Katie Wiskar We’re thrilled to welcome Dr. Katie Wiskar, Academic General Internist at Vancouver General Hospital and lead of the GIM Point-of-Care Ultrasound (POCUS) Fellowship, to the IFADmini Vancouver stage! 🎙️Topic: Introduction to POCUS & VExUS for Fluid Management An expert in whole-body ultrasound for volume assessment, advanced echocardiography, and Doppler evaluation of venous congestion, Dr. Wiskar is passionate about using ultrasound to improve patient care and advance medical education. 📅 Join us September 15, 2025 📍 Vancouver, Canada – Pre-congress workshop to WCICC 💡 Hands-on skill stations • Expert lectures • Real-world case discussions 🎟 Register now → book.stripe.com/cNieVe5oygMq1N… #IFADmini #FluidStewardship #FluidManagement #POCUS #CriticalCare #UltrasoundEducation #WCICC2025 #MedicalEducation

⏳ Only 4 weeks to go! Join us in Vancouver for a full-day IFADmini — packed with expert lectures, hands-on skill stations, and real-world case discussions. 💡 Bring your hospital team and benefit from our group discount — contact info@fluidacademy.org for details. 🎤 Meet our world-class speakers and help break the myths around fluid management and stewardship. 📅 Date: September 15, 2025 📍 Pre-congress workshop at the World Congress of Intensive & Critical Care Secure your spot today and be part of the movement to improve patient outcomes! 🔗 book.stripe.com/cNieVe5oygMq1N… #IFADmini #FluidStewardship #FluidManagement #CriticalCare #Vancouver2025 #WCICC #ICU

🌍 Speaker Spotlight: Prof. Fathima Paruk We’re honoured to welcome Prof. Fathima Paruk, Full Professor & Head of the Department of Critical Care at Steve Biko Academic Hospital, University of Pretoria, South Africa 🇿🇦. Topic: Resuscitation Fluids - Is there a new normal? ✨ Trailblazer in Critical Care First female President of the Critical Care Society of Southern Africa Over 20 years of national & international leadership in critical care Delivered 250+ invited lectures worldwide, including plenaries at WFICC World Congress (Florence 2009, Durban 2013, Seoul 2015) International Scientific Chair of the 11th World Congress (Durban 2013) Her groundbreaking work spans telehealth, critical care obstetrics, COVID-19, sepsis, antimicrobial dosing, ethics, HIV, and post-ICU outcomes. 📅 Meet Prof. Paruk at IFADmini Vancouver — a full-day workshop dedicated to breaking the myths around fluid management and stewardship. 🔗 book.stripe.com/cNieVe5oygMq1N… 📨 Group discounts available: info@fluidacademy.org #IFADmini #FluidStewardship #FluidManagement #CriticalCare #Vancouver2025 #WCICC #ICU #WomenInMedicine

🎤 Speaker Spotlight: Dr. Chito Permejo We’re excited to welcome Dr. Chito Permejo, a practicing cardio-intensivist at the Philippine Heart Center 🇵🇭. Topic: PLR 📚 Academic & Professional Background Master of Science in Physiology, UP College of Medicine Associate Professor, Department of Physiology, UP College of Medicine Currently pursuing a PhD in Molecular Biology & Biotechnology 💡 Areas of Expertise Hemodynamics • Microcirculation • ICU Nutrition • Point-of-care ultrasound in critically ill patients Beyond the ICU, Dr. Permejo champions the importance of work-life balance — proving that dedication to medicine and personal wellbeing can go hand in hand. 📅 Meet Dr. Permejo at IFADmini Vancouver — a full-day workshop to break the myths around fluid management and stewardship. 💰 Bring your hospital team and save! Group discounts available — contact info@fluidacademy.org for details. 🔗 book.stripe.com/cNieVe5oygMq1N… #IFADmini #FluidStewardship #FluidManagement #CriticalCare #Vancouver2025 #WCICC #ICU

🎤 Speaker Spotlight: Dr. Sidharta Kusuma Manggala We’re proud to welcome Dr. Sidharta Manggala, an Indonesian anesthesiologist & intensivist with over a decade of experience, currently serving as Head of the Intensive Care Unit at Dr. Cipto Mangunkusumo National Hospital 🇮🇩. Topic: BIA 📚 Career Highlights MD, Faculty of Medicine, University of Indonesia (2010) Residency in Anesthesiology, Dr. Cipto Mangunkusumo National Hospital (2015) European Diploma in Anesthesiology and Intensive Care Fellowship in Intensive Care Medicine (2020), including a month-long placement in Singapore Head of International Relations, Indonesian Society of Intensivist Anesthesiology (since 2022) 🩺 Professional Roles Anesthesiologist & Intensivist, Dr. Cipto Mangunkusumo National Hospital Anesthesiologist & Intensivist, Hermina Hospital West Bekasi and Hermina Hospital Galaxy His contributions to the field extend beyond clinical care, with numerous journal and book publications both nationally and internationally. 📅 Meet Dr. Manggala at IFADmini Vancouver — a full-day workshop to break the myths around fluid management and stewardship. 💰 Bring your hospital team and save! Group discounts available — contact info@fluidacademy.org for details. 🔗 book.stripe.com/cNieVe5oygMq1N… #IFADmini #FluidStewardship #FluidManagement #CriticalCare #Vancouver2025 #WCICC #ICU

🎤 Speaker Spotlight: Dr. Kimia Honarmand We’re delighted to welcome Dr. Kimia Honarmand 🇨🇦, a Canadian intensivist and scientific researcher recognized by the Royal College of Physicians and Surgeons of Canada. With a strong focus on advancing evidence-based critical care, Dr. Honarmand brings a wealth of expertise in clinical research and patient-centered innovation. At IFADmini Vancouver, she will present an engaging case study that bridges cutting-edge science with real-world ICU practice — offering valuable insights for clinicians committed to improving patient outcomes. 📅 Meet Dr. Honarmand at IFADmini Vancouver — a full-day workshop to break the myths around fluid management and stewardship. 💰 Bring your hospital team and save! Group discounts available — contact info@fluidacademy.org for details. 🔗 book.stripe.com/cNieVe5oygMq1N… #IFADmini #FluidStewardship #FluidManagement #CriticalCare #Vancouver2025 #WCICC #ICU #ResearchInAction

Check out "IFADmini Vancouver" limited places left and learn everything you need to know about IV fluids eventbrite.com/e/ifadmini-van… @Eventbrite

📘 A must-read narrative review by Juan Victor Lorente, Mónica Hervías Sanz, Javier Ripollés-Melchor, and Robert G. Hahn explores perioperative fluid therapy in adults and children — including maintenance, resuscitation, replacement, nutrition, and the concept of fluid creep. 📊 Figure 1 outlines the 4 main indications for IV fluids: ✅ Maintenance ✅ Replacement ✅ Resuscitation ✅ Nutrition 🧬 Figure 2 provides a compelling simulation of how infused fluids sequentially fill plasma (Vc), fast-exchange interstitial (Vt1), and slow-exchange compartments (Vt2) — explaining the physiology behind edema formation and fluid overload. 💡 Whether you're an anesthesiologist, intensivist, pediatrician, or perioperative physician, this review gives critical insights into the safe, effective, and rational use of fluids. 🔗 Access the full open-access article in the IFA Members Portal: 👉 fluidacademy.mn.co/posts/perioper… #FluidTherapy #PerioperativeCare #Edema #BalancedFluids #GoalDirectedTherapy #FluidCreep #IFACommunity #SpainChapter

🧠 IV Fluids in Brain Injury: Salty or Sweet? The Ongoing Debate Choosing the right fluid in patients with acute brain injury remains a delicate balance. In their latest editorial in Intensive Care Medicine, Van Regenmortel & Van der Jagt revisit the evidence for resuscitation and maintenance fluids in neurocritical care. 🔹 Saline vs. Balanced Solutions: Meta-analyses show balanced solutions slightly reduce mortality in general ICU populations—but TBI patients may be the exception. Evidence suggests hypo-osmolality in balanced fluids like Plasmalyte may increase mortality risk in TBI. 🔹 Chloride Load vs. Kidney Safety: While NaCl 0.9% remains the go-to for cerebral protection, hyperchloremia's renal effects shouldn't be ignored. Balanced hypertonic solutions might reduce chloride burden while preserving ICP control. 🔹 Maintenance Fluids—Glucose Dilemma: In TBI, hypotonic glucose solutions risk cerebral edema. Yet, isotonic glucose–saline combinations remain underexplored. Meanwhile, tight glycemic control is crucial, as even mild hyperglycemia may worsen outcomes. 📚 For a full breakdown of recommendations, clinical implications, and the gaps that still need to be addressed— 👉 Visit our IFA Members Portal for the detailed summary and curated discussion-fluidacademy.mn.co/posts/maintena… #FluidTherapy #NeurocriticalCare #IVFluids #TBI #ICU #FOAMed #FluidAcademy #EvidenceBasedMedicine

🌎 Attending the World Congress of Intensive and Critical Care #WCICC2025? ✈️ Arrive a day early and don’t miss this essential pre-conference experience! 📢 IFADmini: Update on Fluid Therapy Join us in beautiful Vancouver for a one-day, expert-led workshop dedicated to mastering intravenous fluid therapy in the critically ill. 🗓 When? Monday, September 15, 2025 📍 Where? Vancouver Convention Centre – Room 118 🕘 Time: 09:00 – 17:30 PT 🎯 Who should attend? Intensivists, ICU nurses, anesthesiologists, emergency physicians, and anyone involved in fluid prescribing. 💡 Why attend? Suboptimal fluid management is still a major cause of ICU complications. This interactive workshop helps you level up your bedside decisions with evidence-based, practical strategies. 🚨 Secure your spot today! 🔗 book.stripe.com/cNieVe5oygMq1N… #IFADmini #FluidTherapy #FluidStewardship #CriticalCare #ICU #EvidenceBasedMedicine #MedicalEducation #Vancouver2025 #WCICC2025