How many times have we discussed fluid balance on a ward round? What is our fluid goal? And why?

Offloading fluid is a “good thing”, but why? And when?

What does the evidence say: what balance should we be aiming at, and when? Does the evidence actually give a message which can be summarised in one soundbite, or, surprise surprise, is it actually more complicated than that? Does the truism that more fluid = higher mortality actually hold up to scrutiny?

And what is fluid overload? Is this a definable metric, or does the evidence use an easy to calculate number, which isn’t what we should be talking about? What is the ROSE concept, and how can it help us?

How do haemodynamic monitors work, and what parameters are useful to us?

Again loads to think about, enjoy this episode!

Categories: Podcast