This piece provides "a thumbnail sketch summary of the fluid debate". Challenging the "prevailing wisdom" regarding fluid management, the kidney and volume overload; "as a young Doctor you sort of got the impression that if you got the kidney to handle a lot of fluid somehow it would be happier". Sodium and volume overload are in fact issues and extra work for the kidney and have tended to cause more difficulties than they solved.

Presented by Professor Monty Mythen and Dr Joff Lacey with guest John A. Kellum, Tenured Professor, Critical Care Medicine from The University of Pittsburgh. The TopMedTalk team love reading feedback from our listeners, join in the debate and send us an email: [email protected]

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This conversation is taken from a longer piece here: http://www.topmedtalk.com/ebpom-2017-pod-one-live-from-london/

Also, this talk regarding nephrology, gets into more detail here: https://www.topmedtalk.com/periop-sig18-goal-directed-therapy-to-prevent-acute-kidney-injury/