Abdulaziz F. AlMutawa

#CritCareMed

[Fluid Academy @Fluid_Academy]

🌟 Celebrating Excellence in Fluid Stewardship

We are proud to announce that Al-Amiri Hospital in Kuwait City has been officially recognized as the first Centre of Excellence in Fluid Stewardship (CEFS) – Silver Label. 🏅

Founded in 1949, Al-Amiri Hospital stands as a leading general tertiary hospital with advanced critical care services. With their commitment to patient safety and innovation, they have become a true pioneer in fluid stewardship.

👏 A special appreciation goes to the core fluid team whose dedication made this achievement possible:

- Dr. Abdulrahman Al-Fares – Senior Specialist, Department of Anesthesia and Critical Care
- Dr. Abdulaziz Al-Mutawa – Intensivist
- Dr. Fatema Fakhra – Clinical Pharmacist
- Manahel Salloum – ICU Nurse

Together, they exemplify how multidisciplinary teamwork can transform clinical practice and improve patient outcomes.

🌍 Interested in becoming a Centre of Excellence in Fluid Stewardship (CEFS)? Reach out to the International Fluid Academy to start your journey.
🔗 https://t.co/MNO8QpgBp3

🏥 Learn more about Al-Amiri Hospital: https://t.co/2DppiEMIZ8

#FluidStewardship #CentreOfExcellence #CriticalCare #PatientSafety

[Abdulaziz F. AlMutawa @azyz_m]

📸 the 21st Emirates Critical Care Conference @ECCC_DUBAI 💯

[Abdulaziz F. AlMutawa @azyz_m]

التبرُ في برِّها 🇰🇼📽️ ١٩٦١ #history

[Fluid Academy @Fluid_Academy]

Monitoring Hypervolemia and Guiding Deresuscitation

🔹 Clinical Signs

• Elevated blood pressure (mean, systolic, diastolic, pulse pressure)
• Decreased heart rate, increased jugular venous pressure
• Peripheral edema, anasarca, altered mental status
• Positive fluid balance, orthopnea, and hepatojugular reflux
• Daily weighing and urine output trends (incl. furosemide stress test)
• Pulmonary rales (crackles) are non-specific; consider multiple signs in tandem

🔹 Fluid Stewardship Approach

• 4 D’s: Drug, Dose, Duration, De-escalation
• 4 Questions: When to start/stop fluid therapy, and when to start/stop fluid removal
• 4 Indications: Resuscitation, Maintenance, Replacement, Nutrition
• ROSE Model: Resuscitation, Optimization, Stabilization, Evacuation

⚖️ These principles help guide safer fluid management and timely deresuscitation, akin to antibiotic stewardship. However, always use comprehensive clinical assessment rather than relying on any single sign or test.

📊 For an in-depth exploration of hypervolemia detection and fluid stewardship, visit our members’ platform.
➡️ https://t.co/cTSr9nmqRy

Fig. 25.3: The 4 phases conceptual model and deleterious effects of fluid accumulation syndrome.
Fig. 25.4: Clinical signs and symptoms related to hypervolemia and fluid accumulation.

#Hypervolemia #Overhydration #FluidStewardship #ROSEmodel #ICU #CriticalCare #FluidBalance #AKI #PatientCare #Healthcare #DeResuscitation

[Abdulaziz F. AlMutawa @azyz_m]

Worth posting this featured photo! Stepping back in time 👨🏻😄 @b_almutawa London, Winter 2011 #archive #ارشيف

[Abdulaziz F. AlMutawa @azyz_m]

Great Dinner and gatherings

[Abdulaziz F. AlMutawa @azyz_m]

Portrait quality photo! account and profile picture reactivation 👀🧔🏻‍♂️

[المستشفى الأميري @amirihospital]

غُرف العناية

عمل اعلامي يوثق قصص حقيقية لمرضى يواجهون ظروفاً صحية حرجة وطاقم طبي يبذل أقصى ما يمكن لإنقاذهم.

تم تصوير طاقم العناية المركزة ب #المستشفى_الأميري بالتعاون مع مستشفى جابر الأحمد. سيتم عرض العمل الوثائقي على مجموعة حلقات عبر منصات المستشفى الأميري .. قريباً

[Fluid Academy @Fluid_Academy]

Offcial launch of the Kuwait #IFA chapter during #IFADmini #Criticalcarekuwait2025 @CriticalCareQ8 with @AAlFares79 starting the path to become a centre of excellence on fluid stewardship for Al-Amiri hospital https://t.co/yktfo9YCwh
The core fluid team with doctors, nurses, pharmacist, dietician will take the lead together with the full ICU team @Manu_Malbrain @PrXaMonnet abdulaziz almutawa

[المستشفى الأميري @amirihospital]

مع احتفالاتنا بالذكرى السنوية للأعياد الوطنية، نكمل مسيرتنا في المستشفى الأميري برؤية جديدة تعكس تطور الخدمات الصحية في المستشفى، مستلهمين ذلك من تاريخ الكويت العريق روح التجديد والابتكار.

كما سطر الوطن قصة كفاح ونهضة، نواصل اليوم رحلتنا في التحول الرقمي، وإعلام طبي فاعل وجاد، يبرز إنسانية مهنة الطب ويرسم لنا ملامح المستقبل.

خلال الأيام القادمة، سنستكشف معا عن هوية جديدة تعكس التزامنا بالتواصل مع المجتمع الذي نقوم بخدمته، ونرسم حقبة جديدة من تاريخ المستشفى الأميري.

#المستشفى_الأميري
#هوية_جديدة
#الإعلام_الطبي
#التحول_الرقمي

[Abdulaziz F. AlMutawa @azyz_m]

@Coffee_86 no more unstable angina😝

[Abdulaziz F. AlMutawa @azyz_m]

@Doc_BiRdie hehehe just i wanted to make sure that there will be a response .. thank god :p

[Abdulaziz F. AlMutawa @azyz_m]

@Coffee_86 unstable angina😂👍

[Abdulaziz F. AlMutawa @azyz_m]

@ahmadh ahmad , long time!! hope things is well:) im searching for your contact number!? send it to me sms :)

[Abdulaziz F. AlMutawa @azyz_m]

@KMalmutawa one of the ways that we never forget u cousin :) will be one of ur top followers :)

[Abdulaziz F. AlMutawa @azyz_m]

@KMalmutawa

[Abdulaziz F. AlMutawa @azyz_m]

@einasbehun now look .. lets focus .. oh ya ya !!

[Abdulaziz F. AlMutawa @azyz_m]

@einasbehun W7 :p .. be aware

[Abdulaziz F. AlMutawa @azyz_m]

@MYT83 😂