• Patient case studies in fluid management

    This interactive tool will put your knowledge to the test as you work your way through four patient cases, making diagnostic and treatment decisions.

  • EASL guidelines

    Compare your current practice with the updated 2018 European Association for the Study of the Liver (EASL) clinical practice guidelines on the management of decompensated cirrhosis, including ascites, spontaneous bacterial peritonitis (SBP), and hepatorenal syndrome in cirrhosis.

  • The debate on hydroxyethyl starch

    Despite mounting evidence demonstrating the possible harmful effects of hydroxyethyl starch (HES) and its continued misuse in critically ill patients, some experts still support its use, leading to heated international debate. Learn more about the events and studies on both sides of the debate that led to the recent decision to further restrict HES use throughout Europe.

  • Overview

    A variety of topics are covered in this unique section of the Fluid Management Knowledge Centre, allowing you to widen your knowledge on intravenous fluids, sepsisliver cirrhosis, and cardiac surgery.


Human albumin (HA) therapy in clinical practice 

A number of patient case studies have been developed with the assistance of Professors Vincente Arroyo, Mauro Bernardi, Francesco Salerno and Paolo Angeli, and are intended for healthcare professionals practicing in Europe. The platform is not suitable for mobile use.

The case studies are hosted externally to epgonline.org. To access, you'll need to submit your email address into the window below.


Large-volume paracentesis: Lance, 55 – presents to the GP significant abdominal discomfort, weight gain and periods of shortness of breath. Sabrina, 45 – presents to the GP significant weight gain, abdominal pain, nausea, decreased appetite and abdominal distension.
Hepatorenal syndrome (HRS) type 1: Susan, 43 (type 2 diabetes and uncontrolled hypertension) – presents at the emergency department complaining of fever, bilateral lower extremity oedema, abdominal pain, nausea and vomiting, progressively worsening over the past 3 weeks.
Spontaneous bacterial peritonitis: Olivia, 37 (type 2 diabetes and cirrhosis) – presenting at the emergency department complaining of gastrointestinal bleeding. 

Explore the Fluid Management Knowledge Centre to discover more about the role of fluid therapy in cardiac surgery, critically ill patients, liver cirrhosis, and more.

Have you joined the debate around hydroxyethyl starch? Get up-to-date as we take you on an interactive journey through the ups and downs of its use. Do you think current restrictions will be enough to change clinical practice?


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