IFADmini Vancouver 2025 – Update on Fluid Therapy

Learning Objectives

• 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.

• 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.

• 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.

• 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,

• Explore tailored fluid therapy approaches for specific conditions such as:
• Cardiac failure: Limiting fluids, using vasopressors/inotropes.
• 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.

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

Registration Fees

Doctors

• Early Bird: €100 (156,05 CAD)
• Regular: €125 (195,06 CAD)
• Onsite: €150 (234,08 CAD)

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

• Early Bird: €50 (78,03 CAD)
• Regular: €75 (117,04 CAD)
• Onsite: €100 (156,05 CAD)

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

Preliminary Programme Highlights

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