Over the years, the trend in fluid therapy has been clear: we're using fluids less and less. But if we project that trend too far into the future, we might imagine a time when we stop using fluids altogether—and I simply don't see that happening. There has to be a balance point—a place where we can appreciate both the benefits and the risks of fluids, and use them wisely. That's the real challenge: finding that middle ground. The importance of this conference is considerable, because many doctors are still confused about fluid therapy. On the one hand, fluids are the cornerstone of resuscitation. No matter what type of shock a patient presents with, our instinctive first move is usually to give fluids. But at the same time, we face a number of uncertainties: How much fluid should we give? What type of fluid is best? What endpoints should we target? How do we know when to stop? So while fluid therapy is common practice, it's also a source of common confusion. That's why meetings like this one are so important. They help us clear the fog, consolidate the latest evidence, and define clear, practical goals that clinicians can apply at the bedside.

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