I am Niels Van Regenmortel, Internist-Intensivist at ZAS in Antwerp, Belgium. In my lecture, I emphasized that not all intravenous fluids are the same, and understanding their composition is crucial for effective fluid management. Specifically, the lower the strong ion difference of a solution, the lower the pH will be, which can lead to increased acidosis in the patient. This highlights the importance of selecting the right fluid based on the clinical context. Crystalloids, for example, vary significantly in their electrolyte composition and buffering capacity, and need to be carefully balanced to achieve optimal outcomes. Similarly, not all colloids are the same. While earlier generations raised concerns, we now have evidence that the latest generation of starches can be both safe and effective when used appropriately. Ultimately, fluid management should be a deliberate decision—based on knowledge and evidence—not left to chance.