Plenary Lecture

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.

WSEAS Unifying the Science