SCCM Resource Library-Thought Leader: Fluids: From Theory to Bedside Practice in Hemodynamic Management of the Critically Ill (Max Harry Weil Honorary Lecture)

Thought Leader: Fluids: From Theory to Bedside Practice in Hemodynamic Management of the Critically Ill (Max Harry Weil Honorary Lecture)

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Video Summary

Dr. Maurizio Ciccone, an eminent anesthesiologist and intensive care specialist, recently shared insights on hemodynamic management in critically ill patients during the Max Harry Weil lecture. With a distinguished background and substantial contributions to intensive care medicine, including leadership during the COVID-19 pandemic, Dr. Ciccone emphasized the importance of understanding shock and efficient fluid management in patients.<br /><br />He began by exploring the definition of shock, emphasizing tissue perfusion and oxygen utilization. Dr. Ciccone highlighted the physiological concepts introduced by Gaiton and Frank Starling, particularly focusing on venous return and its relationship with cardiac output. He explained that fluid responsiveness is crucial in managing shock and clarified that it is essential to maintain a gradient for venous return while avoiding an increase in central venous pressure (CVP).<br /><br />Dr. Ciccone shared findings from the FENICE study, revealing variability in fluid challenge practices and stressing the significance of standardized processes. He discussed the role of fluid challenge tests, the impact of dose and administration rate on patient outcomes, and advocated for a holistic approach to patient assessment.<br /><br />Concluding, Dr. Ciccone emphasized the judicious use of fluids and vasopressors, underscoring the need for technology and artificial intelligence to augment clinical decisions while promoting a smarter, patient-centric healthcare approach.

Asset Caption

Thought Leader | Thought Leader: Fluids: From Theory to Bedside Practice in Hemodynamic Management of the Critically Ill (Max Harry Weil Honorary Lecture)

Meta Tag

Content Type Presentation

Membership Level Professional

Membership Level Select

Year 2024

Keywords

hemodynamic management

critically ill patients

shock

fluid management

fluid responsiveness

FENICE study

artificial intelligence

patient-centric healthcare

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