The development of fluid stewardship programmes in hospital practice as a quality improvement project to improve patient outcomes in healthcare

: Implementation of Fluid Stewardship in hospitals

  • Adrian View Kim Wong ((PhD) Student)

Student thesis: Doctoral Thesis


The overall theme of this PhD is to improve fluid management not just within the intensive care unit but also across the hospital. It will explore the current knowledge of fluid practice using an international survey of healthcare professionals. We will then introduce the concept of fluid stewardship where key performance indicators are introduced as a marker of success. This quality improvement project will be supported using educational resources made available online. The barriers to good fluid stewardship will also be discussed. We hope to develop an online repository of best practice.
In addition to this, a series of clinical trials will be conducted. These fill focus on the use of ultrasound assessment and bio-electrical impedance analysis (non-invasive tools) to assess the fluid status of the patient. These novel techniques will help develop a comprehensive approach for use by clinicians to better guide patient management strategies.
Date of Award2020
Original languageEnglish
SupervisorManu Malbrain (Promotor)


  • fluids
  • critical care
  • volume status

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