I am Jan Poelaert from Brussels, Belgium and it's undeniably difficult to distinguish between lung tissue and thrombus on ultrasound, especially in certain patient populations. During the CACU (Critical and Acute Care Ultrasound) workshops, I spoke about some of these challenges, particularly in our newer patient populations, such as those with obesity, where cardiovascular structures are harder to visualize. This issue becomes even more pronounced in cervical patients, where access and image quality can be significantly compromised. One of the most critical parameters to assess in ICU and perioperative care is left ventricular (LV) function. It plays a central role in evaluating hemodynamic stability in critically ill, intraoperative, and postoperative patients. In this context, transesophageal echocardiography (TEE) serves as a valuable hemodynamic monitoring tool, both intraoperatively and in the ICU. However, it's not without limitations. For example, in cases of abdominal surgery, introducing a transesophageal probe may be contraindicated, and the risks and benefits must be carefully weighed before proceeding. What sets this congress apart is its specific focus on fluid management. It's a concise, two-day symposium that covers the entire spectrum of fluid-related issues in a highly structured and informative way. Despite its brevity, the content is rich and to the point, making it a very important and worthwhile event for anyone working in critical care.

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