This is another excerpt from "Controversies in perioperative medicine"; "The Great Fluid Debate". A fascinating piece containing Dr Tim Miller's enthusiastic advocation of goal directed fluid therapy and then the subsequent debate that follows.

It ends up moving into the subject of 'enhanced recovery after cardiothoracic surgery' and what lessons we can learn from excessive hemofiltration during on bypass surgery.

Chaired by Professor Monty Mythen and featuring a presentation by Dr Tim Miller, anaesthsiologist from Duke University Medical Centre and followed by a debate featuring members of the audience and the panel; Professor Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton; Professor Paul Wischmeyer from the Department of Anesthesiology, Duke University and Professor Stuart Grant, MB ChB, FRCA Director, Medical Student Education, Duke University School of medicine.

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