
Rethinking Fluids - Replacement, Maintenance, Overload and Tolerance with Dr Alexandra Pfaff
From Vet Lit minis by VetLit.org
January 31, 2026 · 28 min · Season 2 · Episode 3
About this episode
The episode discusses the best practices for fluid therapy in critical patients with insights from Dr. Alexandra Pfaff.
Here we discuss how best to use fluid therapy in our critical patients – specifically, the concepts of fluid stewardship, hidden fluids, replacement versus maintenance fluids, sodium load and when fluid overload can happen. Dr Alexandra Pfaff has been building a fluid stewardship team and recently authored a study entitled: Retrospective Evaluation of Risk Factors and Outcome in Dogs With and Without Fluid Overload During Hospitalization in the journal of veterinary internal medicine. https://onlinelibrary.wiley.com/doi/10.1111/jvim.70132 The International Fluid Academy https://www.fluidacademy.org/
People in this episode
Guest: Dr Alexandra Pfaff
Topics covered
- fluid therapy
- critical patients
- fluid stewardship
- sodium load
- fluid overload
Keywords
- fluid therapy
- critical care
- fluid overload
- sodium load
- veterinary medicine
Mentioned in this episode
Organizations: International Fluid Academy, journal of veterinary internal medicine
Books & works: Retrospective Evaluation of Risk Factors and Outcome in Dogs With and Without Fluid Overload During Hospitalization
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