top of page

 FRESHen up your Knowledge and
Focus your Fluid Resuscitation!


Barbara A. McLean, MN, RN, CCRN, CCNS-BC, NP-BC, FCCM



Most hospitals have initiated some form of the sepsis bundle and administration of fluids to mitigate global organ dysfunction. From both a research and clinical perspective, it has become clear that one size does not fit all, and the aggressive administration of fluids without regard to responsiveness exacerbates AKI and ARDS among many other secondary dysfunctions. Providers must adjust their focus to finding more functional endpoints that guide amount and timing of fluid resuscitation. The FRESH trial validates the role of dynamic responsiveness utilizing a non-invasive methodology, along with passive leg raise and aliquots of fluid bolusing. This webinar will show you how to FRESHen up your hemodynamic interventions and endpoint monitoring to improve fluid administration in your critical septic patients. 


 Learning Objectives:

Upon completion of this educational activity, the participant will be able to:

  1. Define dynamic responsiveness

  2. Discuss the issues of fluid overload and underload

  3. Determine endpoints to drive resuscitation maximizing stroke volume


Faculty Bio  

Barbara A. McLean, MN, RN, CCRN, CCNS-BC, NP-BC, FCCM

Currently, Ms. McLean is the advancing evidence-based practice clinical specialist for the division of critical care at the Grady Health System, Atlanta GA. She is a member of many professional organizations including the American Association of Critical Care Nurses (AACN), the Society of Critical Care Medicine (SCCM) and the American Association of Surgery and Trauma. Ms. McLean has been awarded the excellence in education award by the AACN as well as the circle of excellence for clinical practice in 2014 and the SCCM has presented her with the prestigious Norma J. Shoemaker Award for critical care nursing excellence in 2013. Barbara has written 24 chapters 16 articles and is a regular reviewer for Critical Care Medicine, Intensive Care Medicine and NEJM

The Right Balance

Optimizing Fluid Management
bottom of page