Episode 93: Fluid in sepsis and the FloPatch, with Jon-Emile Kenny

The podcast explores fluid responsiveness in critical care, particularly in septic patients, challenging the common practice of liberal fluid administration. Dr. Jon-Emile Kenny, a pulmonary and critical care physician, introduces a "3S" framework—Safety, Indication, and Efficacy—for fluid administration, advocating for personalized resuscitation using point-of-care ultrasound. He argues against the misconception that fluid safety equates to efficacy, highlighting the risk of septic diastolic dysfunction and potential harm from unnecessary fluids. The discussion covers tools for assessing fluid responsiveness, such as the Doppler-Starling curve, and introduces a wearable ultrasound device (FloPatch) that measures changes in carotid artery flow time and jugular vein morphology to guide fluid management. Kenny emphasizes the importance of avoiding fluid overload to reduce ICU stay and complications, advocating for judicious fluid use.