Plenary Lecture
The Meaning of Fluid Responsiveness
Dr. Karim Bendjelid
Medecin Adjoint Agrege
Intensive Care Division
Geneva University Hospitals
CH-1211 Geneva 14
Switzerland
E-mail :
karim.bendjelid@hcuge.ch
Abstract:
Volume expansion is the basis of resuscitation in
critically ill patients. It is important to recognize
that fluid deficits occur frequently in patients with
shock because of decrease in unstressed circulatory
volume or alterations in capillary permeability. In this
regard, decrease in venous return results in inadequate
cardiac output to meet the metabolic requirements of
tissues and must be treated urgently to avoid the
occurrence of multiorgan failure. Although the
importance of fluid management is generally well-known,
the prediction of patients' fluid responsiveness in some
situations could be difficult to assess. The present
lecture reviews the meaning of fluid responsiveness
monitoring in critically ill patients.
Brief Biography of the Speaker:
Karim Bendjelid, MD, PhD is a Cardiologist-Intensivist
attending physician at the Geneva University Hospitals
(Intensive Care Division) and a Privat Docent at Geneva
Medical University. He has also a Master of Science (MSc)
in Cardiovascular Pharmacology at University of
Pierre-Marie Curie-Paris VI (France) and a PhD in
Physiology at University of Claude Bernard-Lyon I
(France). Dr Bendjelid succeeds to the Gold Decoration
Competition (“Gold Medal awards”) of the Lyon University
Hospitals. His main research interests concern
hemodynamic monitoring (macrocirculation-microcirculation)
and reliability of static and dynamic markers to predict
fluid responsiveness in critically ill patients. In
these fields, he authored or co-authored over 60
scientific papers published in peer reviewed journals or
presented at international conferences. He co-authored
over 5 Review & Chapters papers books edited by
Springer-Verlag, Distribuna Editorial and Elsevier. He
was a chairman or keynote lecturer in a number of
international conferences organized by different
prestigious societies. He is a regular Member of The
French Society of Cardiology (echocardiography), the
French Cardio-Vasculaire Research Group, the European
Society of Cardiology, the American Physiological
Society and the European Society of Intensive Care. He
is a technical reviewer for the following international
journals: IEEE Transactions on Biomedical Engineering,
Critical Care Medicine, Intensive Care Medicine,
Anesthesia Analgesia, Circulation, Chest, Acta
Anaesthesiologica Scandinavica, Anesthesiology, European
Journal of Echocardiography, Pulmonary Pharmacology and
Therapeutics, the American Journal of Respiratory
Critical Care Medicine, Stroke, Critical Care, European
Journal of clinical investigation, Journal of Surgical
Research, and British medical journal. He is also,
member of the editorial board of Current Drug Therapy,
Annals of Thoracic Medicine and Open Critical Care
Medicine Journal.
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