Podcasts about renal replacement therapy

Acute kidney injury is a frequent complication of critical illness, and a subgroup of these patients will require renal replacement therapy. In this episode. Dr. Sergio Zanotti discusses optimizing renal replacement therapy in the ICU. He is joined by Dr. Michael J. Connor, Jr., a practicing intensivist and nephrologist. He is a professor and senior physician of critical care medicine and nephrology at the Divisions of Pulmonary, Allergy, Critical Care, & Sleep Medicine and Renal Medicine at Emory University School of Medicine. In addition, he is the director of critical care nephrology at the Emory Critical Care Center at Grady Memorial Hospital. Additional resources: Delivering optimal renal replacement therapy to critically ill patients with acute kidney injury. Wald R, et al. Intensive Care Med 2022: https://pubmed.ncbi.nlm.nih.gov/36066597/ Initiation Strategies for Renal-Replacement Therapy in the Intensive Care Unit. AKIKI Study Group. N Engl J Med 2016: https://pubmed.ncbi.nlm.nih.gov/27181456/ Effect of Early vs Delayed Initiation of Renal Replacement Therapy on Mortality in Critically Ill Patients with Acute Kidney Injury. ELAIN Trial. JAMA 2016: https://pubmed.ncbi.nlm.nih.gov/27209269/ Timing of Renal-Replacement Therapy in Patients with Acute Kidney Injury and Sepsis. IDEAL-ICU Investigators. N Eng J Med 2018: https://pubmed.ncbi.nlm.nih.gov/30304656/ Timing of Initiation of Renal-Replacement Therapy in Acute Kidney Injury. STARRT-AKI Investigators. N Engl J Med 2020: https://pubmed.ncbi.nlm.nih.gov/32668114/ Comparison of two delayed strategies for renal therapy initiation for severe acute kidney injury. AKIKI 2 Trial. Lancet 2021: https://pubmed.ncbi.nlm.nih.gov/33812488/ Books and Music mentioned in this episode: The Invisible Life of Addie LaRue. By V.E. Schwab: The Invisible-Life-Addie-LaRue Moon Music. By Coldplay: Moon-Music-Coldplay

Host Ludwig Lin, MD, welcomes Raghavan Murugan, MD, MS, FRCP, FCCM, a professor and leading expert in critical care nephrology. They discuss the latest insights on fluid management strategies during continuous renal replacement therapy (CRRT), drawing from recent research and white papers. Dr. Murugan emphasizes the importance of updated education on CRRT fluid removal practices to enhance clinical outcomes and patient care in critical settings. This podcast is sponsored by Baxter Health.

Stuart Goldstein, MD is a Professor of Pediatrics at the University of Cincinnati, where he serves as the Clark D. West Endowed Chair. He is a practicing pediatric nephrologist at Cincinnati Children's where he also is the Director for the Center for Acute Care Nephrology and the Medical Director for the Pheresis Service. Dr Goldstein is the Founder and Principal Investigator for the Prospective Pediatric Acute Kidney Injury Research Group and has evaluated novel urinary AKI biomarkers in the pediatric critical care setting. Dr. Katherine Melink (at time of recording) is currently finishing her residency at Cincinnati Children's Hospital where she was able to conduct research in biomarkers for the prediction of kidney injury in critically ill children (particularly in the CICU). Her exposure to CRRT under physicians like Dr. Goldstein at Cincinnati Children's has served as a motivating factor to participate in this episode! She is excited to start PICU fellowship at Boston Children's Hospital in July.Learning Objectives:By the end of this podcast, listeners should be able to discuss:CRRT fundamentals, including how it differs from conventional hemodialysis and the rationale for its use in critically ill pediatric patients.Key differences in ultrafiltration, diffusion, and convection and their clinical applications in CRRT.Patient selection and indications for CRRT (AKI, fluid overload, toxic metabolite/ingestion among others)Key evidence guiding use of CRRT in critically ill children.Components of a CRRT prescription and guiding principles of how to titrate therapy.Pitfalls and complications of CRRTCommon anticoagulation strategies in CRRTGeneral principles guiding liberation from CRRT.Selected references:Sutherland et al; ADQI 26 Workgroup. Epidemiology of acute kidney injury in children Pediatr Nephrol. 2024 Mar;39(3):919-928. doi: 10.1007/s00467-023-06164-w. Epub 2023 Oct 24. Basu et al. Derivation and validation of the renal angina index to improve the prediction of acute kidney injury in critically ill children. Kidney Int. 2014 Mar;85(3):659-67. doi: 10.1038/ki.2013.349. Epub 2013 Sep 18. PMID: 24048379; Fuhrman et al; ADQI 26 workgroup. A proposed framework for advancing acute kidney injury risk stratification and diagnosis in children. Pediatr Nephrol. 2024 Mar;39(3):929-939. doi: 10.1007/s00467-023-06133-3. Epub Questions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.

Stuart Goldstein, MD is a Professor of Pediatrics at the University of Cincinnati, where he serves as the Clark D. West Endowed Chair. He is a practicing pediatric nephrologist at Cincinnati Children's where he also is the Director for the Center for Acute Care Nephrology and the Medical Director for the Pheresis Service. Dr Goldstein is the Founder and Principal Investigator for the Prospective Pediatric Acute Kidney Injury Research Group and has evaluated novel urinary AKI biomarkers in the pediatric critical care setting. Dr. Katherine Melink (at time of recording) is currently finishing her residency at Cincinnati Children's Hospital where she was able to conduct research in biomarkers for the prediction of kidney injury in critically ill children (particularly in the CICU). Her exposure to CRRT under physicians like Dr. Goldstein at Cincinnati Children's has served as a motivating factor to participate in this episode! She is excited to start PICU fellowship at Boston Children's Hospital in July.Learning Objectives:By the end of this podcast, listeners should be able to discuss:CRRT fundamentals, including how it differs from conventional hemodialysis and the rationale for its use in critically ill pediatric patients.Key differences in ultrafiltration, diffusion, and convection and their clinical applications in CRRT.Patient selection and indications for CRRT (AKI, fluid overload, toxic metabolite/ingestion among others)Key evidence guiding use of CRRT in critically ill children.Components of a CRRT prescription and guiding principles of how to titrate therapy.Pitfalls and complications of CRRTCommon anticoagulation strategies in CRRTGeneral principles guiding liberation from CRRT.Selected references:Sutherland et al; ADQI 26 Workgroup. Epidemiology of acute kidney injury in children Pediatr Nephrol. 2024 Mar;39(3):919-928. doi: 10.1007/s00467-023-06164-w. Epub 2023 Oct 24. Basu et al. Derivation and validation of the renal angina index to improve the prediction of acute kidney injury in critically ill children. Kidney Int. 2014 Mar;85(3):659-67. doi: 10.1038/ki.2013.349. Epub 2013 Sep 18. PMID: 24048379; Fuhrman et al; ADQI 26 workgroup. A proposed framework for advancing acute kidney injury risk stratification and diagnosis in children. Pediatr Nephrol. 2024 Mar;39(3):929-939. doi: 10.1007/s00467-023-06133-3. EpubQuestions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the Show.How to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.

In this deeply personal episode of 'Kent's Kidney Story,' Kent Bresler invites listeners to explore the intersection of kidney health and the aging process. From his own experiences with a transplant that has lasted over three decades to the nuances of managing life post-transplant, Kent offers a transparent look at the highs and lows. Discover the role of community support, the impact of lifestyle choices, and the profound influence of mentorship in the kidney disease community. If you have questions regarding items discussed during this episode or would like more information about Kidney Solutions weekly Support Group, contact Kent at kent.bressler@kidneysolutions.org For more information about Kidney Solutions, visit us at www.kidneysolutions.org Host: Kent Bressler Producer: Jason Nunez

Não fica injuriado se a creatinina subir. No quinto episódio dessa segunda temporada, discutimos sobre definições, classificações, além de como reconhecer e tratar a injúria renal aguda (anteriormente denominada lesão renal aguda). Lojinha da Amazon (Livros e Materiais recomendados): Episódio sobre Síndrome Nefrótica Episódio sobre Distúrbios do Sódio Episódio sobre Leptospirose e Síndromes Ictéricas Febris Sigam e acompanhem a gente, nas redes: Insta: @medicinarretada Tiktok: @medicinarretada Youtube: @medarretada Site: ⁠⁠⁠⁠⁠⁠⁠https://medicinarretada.com.br/⁠⁠⁠⁠⁠⁠⁠ E-mail: ⁠⁠⁠⁠⁠⁠⁠suporte@medicinarretada.com.br⁠⁠⁠⁠⁠⁠⁠ Um "xêro" e até a próxima!

CRRT Trials of the Week: RENAL & IDEAL-ICU  Special Guest: Linda Awdishu, PharmD, MAS Linda Awdishu joins me to highlight two landmark studies related to the use of continuous renal replacement therapy (CRRT) in the critically ill. We discuss renal replacement therapy, compare modalities, and review the history of CRRT as an introduction. Then we review two studies: “Intensity of Continuous Renal-Replacement Therapy in Critically Ill Patients: RENAL study” published in 2009 and “Timing of Renal-Replacement Therapy in Patients with Acute Kidney Injury and Sepsis: IDEAL-ICU study” published in 2018, both in the New England Journal of Medicine.  Would these findings be replicated in other populations, do we have answers about the most appropriate effluent rate and when to initiate CRRT in the critically ill, findings from both studies, future research priorities, and much, much more! References list: https://pharmacytodose.files.wordpress.com/2023/10/crrt-tow-references.pdf PharmacyToDose.Com  @PharmacyToDose  PharmacyToDose@Gmail.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Alison Grazioli, MD is an assistant professor at the University of Maryland. She completed fellowships in both critical care and nephrology and currently serves as the medical director of the cardiac surgery intensive care unit at the University of Maryland. Her lecture focuses on the common challenges of renal replacement ...

Listen to Dr. Kathy Keenan explain yet another exciting advancement in veterinary medicine called Renal Replacement Therapy. This life-saving treatment is done for cats and dogs with many conditions including acute kidney failure, immune-mediated diseases, cancer, toxin exposure, and drug overdoses. Since we can never predict when one of these medical issues may affect our beloved pet, it could behoove you to find one of the 20 veterinary practices is nearest you. It could be a matter of life and death!To contact Dr. Keenan in Vancouver, WA, you may email her at kathy.keenan@nva.comSupport the showDisclaimerFollow us on Facebook, Instagram, TikTok, and YouTube @ PetAbility Podcast!PetAbility is affiliated with Dr. Buzby's Toe Grips to keep your dog from slipping. You may order your dog's Toe Grips via two options. 1) When you order at toegrips.com and use the promo code PETPOD22 at check out, you will receive 10% off your first order and PetAbility receives 10%. 2. When you order using this link: https://shop.toegrips.com/petpod22, the entire 20% will go to support our show.PetAbility is affiliated with HedzUpPets watercollars at SaveDogsFromDrowning.com. When you purchase your own watercollar by using coupon code PETPOD22, you save 10% and PetAbility gets 10%.PetAbility is affiliated with ADogsBestLifeBox.com. When you subscribe to receive their awesome enrichment kits using the coupon code PETPOD22 , ...

In this episode, we discuss three fellowship vivas addressing controversies related to fluid resuscitation in septic shock, renal replacement therapy in AKI and pressure-controlled ventilation mode.

In this episode, Dr. Christopher Tookey is joined by Dr. Kevin Rossiter, a kidney specialist. They start by talking about what is dialysis and how it is used for patients with kidney failure. They then talk about about how to prevent dialysis by reviewing the two most common causes (diabetes and high blood pressure). They then return to talking about misconceptions about dialysis and what life is like on dialysis. They close with some thoughts on when to stop dialysis.  A disclaimer, we're providing general guidance but everyone is different and you should always discuss with your health care professional management of any disease and therapy before trying anything you discover from a source on the internet (including this podcast) 

Renal replacement therapy (RRT) is routinely utilized in the CICU. Series co-chairs Dr. Eunice Dugan and Dr Karan Desai along with CardioNerds Co-founder Dr. Daniel Ambinder were joined by FIT lead and CardioNerds Ambassador from University of Washington, Dr. Tomio Tran. Our episode expert is world-renowned nephrologist Dr. Joel Topf. Dr. Topf is Medical Director of Research at St. Clair Nephrology, and editor of the Handbook of Critical Care Nephrology. In this episode, we describe a case of cardiogenic shock due to acute myocardial infarction resulting in renal failure, ultimately requiring continuous RRT (CRRT). We discuss the most common causes of AKI within the cardiac ICU, indications for initiating RRT, evidence on the timing of RRT, different modes of RRT, basic management of the RRT circuit, and how to transition patients off of RRT during renal recovery. Episode notes were drafted by Dr. Tomio Tran. Audio editing by CardioNerds Academy Intern, Dr. Maryam Barkhordarian. The CardioNerds Cardiac Critical Care Series is a multi-institutional collaboration made possible by contributions of stellar fellow leads and expert faculty from several programs, led by series co-chairs, Dr. Mark Belkin, Dr. Eunice Dugan, Dr. Karan Desai, and Dr. Yoav Karpenshif. Pearls • Notes • References • Production Team CardioNerds Cardiac Critical Care PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls and Quotes - Approach to Renal Replacement Therapy in the CICU Do not commit “Renalism” - withholding lifesaving treatments from patients with renal impairment due to fear of causing renal injury. Shared decision making is key. In the ICU, most of the time, AKI is caused by ATN due to adverse hemodynamics. Nephrologists can help determine the cause if the patient has an atypical presentation. Late dialysis initiation is non-inferior to early dialysis initiation. Early initiation may lead to higher rates of prolonged time on dialysis. Slow low efficiency daily diafiltration (SLEDD) vs CRRT are equivalent in terms of outcomes and are the preferred methods among patients with hypotension. Intermittent Hemodialysis (iHD) can be used once patients are hemodynamically stable. A “Furosemide Stress Test” can be used to test intact renal function or renal recovery by challenging the nephron to make urine. Show notes - Approach to Renal Replacement Therapy in the CICU What are the risk factors and differential for AKI in the CICU? Start by using the pre-renal vs intrinsic renal vs post-renal framework. Additional considerations in cardiac patients include contrast induced nephropathy, pigment nephropathy, cardiorenal syndrome. Enjoy Episode 262. Management of Cardiorenal Syndrome in the CICU. In the ICU setting, intrinsic renal injury due to ATN is among the most common etiology of AKI. Many risk factors for AKI are not modifiable in the ICU. Optimize renal function by avoiding nephrotoxins, minimizing contrast usage, and keeping the MAP >65-75 mmHg. Contrast nephropathy as an etiology is questionable and may be a marker of a sicker patient population. Avoid “Renalism” - providing substandard care to patients with renal disease due to fear of worsening renal function. Most etiologies are treated with supportive care. What is the approach to timing of renal replacement therapy initiation? Definitions for early vs late vs very late initiation of RRT:Early – Worsening AKI without indications for RRTLate – Worsening AKI with relative indications for RRT Very late – Worsening AKI with strict indications for RRT Late initiation is noninferior in terms of mortality; early initiation is associated with higher rates of prolonged/permanent RRT.1,2,3 Very late initiation associated with worse outcomes.4 In general,

Did you miss this year's Eastern Association for the Surgery of Trauma meeting?  Don't sweat it!  Behind the Knife has got you covered.  In this episode we discuss “Scientific Papers that Should Change Your Practice” with EAST manuscript and literature committee members Drs. Laura Brown (@laurarbrownMD), Brittany Bankhead (@bbankheadMD), and Julia Coleman (@juliacolemanMD).   Universal blunt cerebrovascular screening?  Early renal replacement therapy?  Artificial intelligence in emergency general surgery?  This episode is PACKED with high-yield material.   To learn more about all the good things happening at EAST visit www.east.org.  Papers discussed:  1.     Do not forget the platelets: The independent impact of red blood cell to platelet ratio on mortality in massively transfused trauma patients (https://pubmed.ncbi.nlm.nih.gov/35313325/) 2.     The 35-mm rule to guide pneumothorax management: Increases appropriate observation and decreases unnecessary chest tubes (https://pubmed.ncbi.nlm.nih.gov/35125448/) 3.     Timing of thromboprophylaxis in patients with blunt abdominal solid organ injuries undergoing nonoperative management (https://pubmed.ncbi.nlm.nih.gov/33048907/) 4.     Universal screening for blunt cerebrovascular injury (https://pubmed.ncbi.nlm.nih.gov/33502144/) 5.     A three-step support strategy for relatives of patients during in the intensive care unit: a cluster randomized trial (https://pubmed.ncbi.nlm.nih.gov/35065008/) 6.     Hypothermia versus Normothermia after Out-of-Hospital Cardiac Arrest (https://pubmed.ncbi.nlm.nih.gov/34133859/) 7.     Timing of Initiation of Renal-Replacement Therapy in Acute Kidney Injury (https://pubmed.ncbi.nlm.nih.gov/32668114/) 8.     Disparities in Spatial Access to Emergency Surgical Services in the US (https://pubmed.ncbi.nlm.nih.gov/36239953/) 9.     Validation of the AI-based Predictive Optimal Trees in Emergency Surgery Risk (POTTER) Calculator in Patients 65 Years and Older (https://pubmed.ncbi.nlm.nih.gov/33378309/) 10.  Accuracy of Risk Estimation for Surgeons Versus Risk Calculators in Emergency General Surgery (https://pubmed.ncbi.nlm.nih.gov/35594615/) **Specialty team application link - https://forms.gle/DwrRcMYDaP3a3LaQA Please email hello@behindtheknife.org with any questions. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out other trauma episodes here: https://behindtheknife.org/podcast-category/trauma/

Join us on this podcast as we discuss Renal Replacement Therapy with Professor Sean Bagshaw from the University of Alberta Hospital, Edmonton, Canada. Dr. Bagshaw is Professor and Chair for the Department of Critical Care Medicine at the University of Alberta in Edmonton, Canada. He completed medical school and residency training at the University of Calgary (Doctor of Medicine – 2000; Internal Medicine – 2003; Critical Care Medicine – 2005; Master of Science in Epidemiology – 2005) prior to completing a Critical Care Nephrology fellowship in the Department of Intensive Care Medicine, at the Austin Hospital in Melbourne, Australia. Dr. Bagshaw works as a full-time staff intensivist in two of the busiest and highest acuity intensive care units in Alberta – the General Systems ICU at the University of Alberta Hospital and the Cardiovascular Surgical ICU at the Mazankowski Alberta Health Institute. Dr. Bagshaw has expertise in acute kidney injury, renal replacement therapy, frailty and vulnerable patients and end-of-life care in ICU settings. He has published over 400 peer-reviewed articles and it was our absolute privilege to have him on the show. In this episode we talk about timing of replacement therapy, data around continuous and intermittent therapy, intensity of dialysis, fluid management, anticoagulation and weaning of renal replacement therapy. Articles of Interest: 1. Timing of Initiation of  Renal-Replacement Therapy in Acute Kidney Injury. New England Journal of  Medicine. 2020 Jul 16;383(3):240–51. 2. Zarbock A, Kellum JA, Schmidt C, van  Aken H, Wempe C, Pavenstädt H, et al. Effect of Early vs Delayed Initiation of  Renal Replacement Therapy on Mortality in Critically Ill Patients With Acute  Kidney Injury. JAMA. 2016 May 24;315(20):2190. 3. Barbar SD, Clere-Jehl R, Bourredjem A,  Hernu R, Montini F, Bruyère R, et al. Timing of Renal-Replacement Therapy in  Patients with Acute Kidney Injury and Sepsis. New England Journal of Medicine.  2018 Oct 11;379(15):1431–42. 4. Gaudry S, Hajage D, Schortgen F,  Martin-Lefevre L, Pons B, Boulet E, et al. Initiation Strategies for  Renal-Replacement Therapy in the Intensive Care Unit. New England Journal of  Medicine. 2016 Jul 14;375(2):122–33. 5. Jaber S, Paugam C, Futier E, Lefrant  JY, Lasocki S, Lescot T, et al. Sodium bicarbonate therapy for patients with  severe metabolic acidaemia in the intensive care unit (BICAR-ICU): a  multicentre, open-label, randomised controlled, phase 3 trial. The Lancet.  2018 Jul;392(10141):31–40. 6. Intensity of Continuous  Renal-Replacement Therapy in Critically Ill Patients. New England Journal of  Medicine. 2009 Oct 22;361(17):1627–38. 7. Intensity of Renal Support in  Critically Ill Patients with Acute Kidney Injury. New England Journal of  Medicine. 2008 Jul 3;359(1):7–20.

Looking for more information on this topic? Check out the Renal Replacement Therapy brick. If you enjoyed this episode, we'd love for you to leave a review on Apple Podcasts.  It helps with our visibility, and the more med students (or future med students) listen to the podcast, the more we can provide to the future physicians of the world. Follow USMLE-Rx at: Facebook: www.facebook.com/usmlerx Blog: www.firstaidteam.com Twitter: https://twitter.com/firstaidteam Twitter: https://twitter.com/mesage_hub Instagram: https://www.instagram.com/firstaidteam/ YouTube: www.youtube.com/USMLERX Learn more about Rx Bricks by signing up for a free USMLE-Rx account: www.usmle-rx.com You will get 5 days of full access to our Rx360+ program, including over 800 Rx Bricks.  After the 5-day period, you will still be able to access over 150 free bricks, including the entire collections for General Microbiology and Cellular and Molecular Biology.

Renal Replacement Therapy (RRT) is a complex treatment for patients both in and out of the ICU environment.  There are multiple different modes, machines and functions and this episode is about addressing the confusion and answering all your questions in relation to RRT. Below are the links to articles referred to throughout the podcast Systematic review and meta-analysis of renal replacement therapy modalities for acute kidney injury in the intensive care unit   https://eds.p.ebscohost.com/eds/viewarticle/render?data=dGJyMPPp44rp2%2fdV0%2bnjisfk5Ie46a9Ir66yUbWk63nn5Kx94um%2bUa2orkewprBKnqy4SbSws1Get8s%2b8ujfhvHX4Yzn5eyB4rOvUbSnrkmyr7dKpOnnfLvbsEvfp7RRtaOufeKtq0y2qbJF4KzjS6vasU7iqLd7sKy3ed%2b28H3i3%2fE%2b6tfsf7vb7D7i2Lt94unjhO6c8nnls79mpNfsVdGmtlCxr7JMr6e1S66ntUq1nOSH8OPfjLvc84Tq6uOQ8gAA&vid=0&sid=e23a1697-0ed7-4834-b6e3-d36d29c269aa@redis     Comparing Renal Replacement Therapy Modalities in Critically ill Patients with Acute Kidney Injury:  A Systematic Review and Network Meta-Analysis   https://eds.p.ebscohost.com/eds/viewarticle/render?data=dGJyMPPp44rp2%2fdV0%2bnjisfk5Ie46a9Ir66yUbWk63nn5Kx94um%2bUa2orkewprBKnqy4SbSws1Get8s%2b8ujfhvHX4Yzn5eyB4rOvUbSnrkmyr7dKpOnnfLvbsEvfp7RRtaOufeKtq0y2qbJF4KzjS6vasU7iqLd7sKy3ed%2b28H3i3%2fE%2b6tfsf7vb7D7i2Lt94unih%2bic8nnls79mpNfsVePa8Xzt4KxPsq7gS7CqsXmvq7BMr6%2fjULCn4H6z265%2br6yyS6%2fc5D7k5fCF3%2bq7fvPi6ozj7vIA&vid=1&sid=e23a1697-0ed7-4834-b6e3-d36d29c269aa@redis   Effect of sustained low efficient dialysis versus continuous renal replacement therapy on renal recovery after acute kidney injury in the intensive care unit   https://eds.p.ebscohost.com/eds/viewarticle/render?data=dGJyMPPp44rp2%2fdV0%2bnjisfk5Ie46a9Ir66yUbWk63nn5Kx94um%2bUa2orkewprBKnqy4SbSws1Get8s%2b8ujfhvHX4Yzn5eyB4rOvUbSnrkmyr7dKpOnnfLvbsEvfp7RRtaOufeKtq0y2qbJF4KzjS6vasU7iqLd7sKy3ed%2b28H3i3%2fE%2b6tfsf7vb7D7i2LuF4tmkjN%2fdu1nMnN%2bGu6i2SbCutlCvnOSH8OPfjLvc84Tq6uOQ8gAA&vid=5&sid=e23a1697-0ed7-4834-b6e3-d36d29c269aa@redis

Our topic for episode 23 is micronutrient losses in continuous renal replacement therapy (CRRT) with nutrition support expert Kris Mogensen, MS, RD-AP, LDN, CNSC. Learn more about this highly specialized area of practice and how the dietitian plays an integral role in the care of critically ill patients with renal impairment. Recorded 4/10/21, Length 27 minutes.

This episode we are taking a different slant than previous ones and turning more clinical. Gareth (@garemlyn) speaks with fellow podcast lead, Dr Ricky Bell, a consultant in Nephrology and Intensive Care Medicine, on the subject of Renal Replacement Therapy in Acute Kidney Injury. The discussion is designed to be practical in nature and as such does not constitute guidance from FICM and the views expressed are those of Gareth and Ricky only.  We would really appreaciate your feedback on these clincal segments so please do get in touch via the FICM website, the FICM twitter feed or by any other means available. We would especially like to hear about future clinical topics that you would like covering or if you are interested in helping wiht the production of the podcast as a resource.

Dr. Yvelynne Kelly and Dr. Mallika Mendu discuss the results of their study, "Controlled Study of Decision-Making Algorithms for Kidney Replacement Therapy Initiation in Acute Kidney Injury," on behalf of their coauthors.

In this episode Dr. Gillan Beauchamp sits down with Dr. Joshua King to discuss dosing adjustments of common antidotes and medications in patients undergoing HD and CCRT.

Acute Kidney Injury (AKI) affects nearly 40% of intensive care unit (ICU) patients and carries significant morbidity and mortality. Once AKI is established, renal replacement therapy (RRT) is the mainstay of supportive care. The best time to initiate RRT is still unclear. Although several studies have evaluated early vs. late RRT in AKI, there is no clear consensus on how “early” or “late” should be defined. Existing evidence does not support the initiation of RRT based on any particular stage of AKI. Risk-benefit of RRT along with the host's ability to tolerate homeostatic derangements should be taken into account prior to initiating RRT. Continuous RRT (CRRT) has not been shown to be superior to intermittent hemodialysis (IHD). A CRRT dose of at least 20ml/kg/hour or an IHD dose of Kt/V 1.2 thrice a week seems to be adequate for patients with AKI in the ICU. Improvement of urine output and trend in azotemia can serve as a guide in weaning and termination of RRT. Diuretics have not been shown to decrease the need or frequency of RRT.  

Contributor: Aaron Lessen, MD Educational Pearls: Patients with acute renal failure often need medical management for hyperkalemia Those with severe electrolyte derangements or absent renal function may need emergent dialysis as well Dialysis catheters are 12 or 14 french catheters placed in the right internal jugular or left subclavian Placement is very similar to a central line or cordis catheter Trialysis catheter is one option that has an extra port that can be used for regular medication administration and drawing blood Do not default to use dialysis catheters for normal ED access due to risk of infection and clot development While dialysis catheters are typically reserved for dialysis only, they can be used in extreme circumstances, such as a cardiac arrest References Co I, Gunnerson K. Emergency Department Management of Acute Kidney Injury, Electrolyte Abnormalities, and Renal Replacement Therapy in the Critically Ill. Emerg Med Clin North Am. 2019;37(3):459-471. doi:10.1016/j.emc.2019.04.006 Simon LV, Hashmi MF, Farrell MW. Hyperkalemia. [Updated 2021 Aug 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470284/ Akaraborworn O. A review in emergency central venous catheterization. Chin J Traumatol. 2017;20(3):137-140. doi:10.1016/j.cjtee.2017.03.003 Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD   The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at https://emergencymedicalminute.org/cme-courses/ and create an account.  Donate to EMM today!

Contributor: Aaron Lessen, MD Educational Pearls: Hyperkalemia can cause EKG changes such as a widened QRS The fastest electrolyte results can be obtained off a VBG with electrolytes  or point-of-care labs Hyperkalemia may be reported as “hemolyzed” which indicated lysis of red blood cells and artificial elevation of the potassium level. However, always keep in mind the clinical context and look at other metabolic abnormalities like creatinine and BUN for other clues that it may actually not be hemolyzed References Co I, Gunnerson K. Emergency Department Management of Acute Kidney Injury, Electrolyte Abnormalities, and Renal Replacement Therapy in the Critically Ill. Emerg Med Clin North Am. 2019;37(3):459-471. doi:10.1016/j.emc.2019.04.006 Simon LV, Hashmi MF, Farrell MW. Hyperkalemia. [Updated 2021 Aug 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470284/ Summarized by John Spartz, MS4 | Edited by Erik Verzemnieks, MD   The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at https://emergencymedicalminute.org/cme-courses/ and create an account.  Donate to EMM today!

Episode Description The timing of renal replacement therapy remains controversial and may be influenced by local resources, availability and institutional practices. In this episode from the Surgical Critical Care team at Behind the Knife, we provide a brief overview, introduce a clinical scenario and discuss two contemporary articles on the timing of initiation.    Learning Objectives:  In this episode, we review the indications for renal replacement therapy, the different modalities of continuous replacement therapy, and discuss two randomized control trials that may help us answer the question of dialysis initiation. Hosts: Brittany Bankhead-Kendall, MD, MS (@BBankheadMD) is an Assistant Professor of Surgery at Texas Tech University Health Sciences Center.   Ryan Dumas, MD, FACS (@PMH_Trauma_RPD) is an Assistant Professor at the University of Southwestern Medical Center and Parkland Memorial Hospital.   Caroline Park, MD, MPH, FACS (@CPark_MD) is an Assistant Professor at the University of Southwestern Medical Center and Parkland Memorial Hospital.   Links to Papers Referenced in this Episode: Timing of Renal-Replacement Therapy in Patients with Acute Kidney Injury and Sepsis. N Engl J Med. 2018 Oct 11;379(15):1431-1442. doi: 10.1056/NEJMoa1803213. https://pubmed.ncbi.nlm.nih.gov/30304656/   Timing of Initiation of Renal-Replacement Therapy in Acute Kidney Injury. N Engl J Med. 2020 Jul 16;383(3):240-251. doi: 10.1056/NEJMoa2000741. https://pubmed.ncbi.nlm.nih.gov/32668114/

Bianca, our hypothetical patient, gets admitted from the ward with severe diarrhoea and a potassium of 7.5. Join Raluca (ICU Nurse) and Chris (ICU Consultant) in discussing: What is “renal failure” How to prepare for this admission Treatment options for Bianca Renal Replacement theory: the principles Don't miss our three takeaway messages and please send us yours! Enjoy the episode! Raluca Vagner- Intensive Care Nurse @RalucaVagner Chris Gough- Intensive Care Consultant @GoughCJ --- Send in a voice message: https://anchor.fm/hla-listen/message

With widespread utilization of continuous renal replacement therapy, its critical to know about how citrate may have a role.

With widespread utilization of continuous renal replacement therapy, its critical to know about how citrate may have a role.

Join pediatric nephrologist, Dr. Melissa Muff-Luett as she introduces the fourth episode in this series and talks about Continuous Renal Replacement Therapy or CRRT. Dr. Melissa Muff-Luett is the Medical Director of Dialysis at Children’s Hospital and Medical Center in Omaha, Nebraska. The information provided in this podcast is general in nature and is intended as a training tool for Children's Hospital & Medical Center personnel. This podcast is not intended to be a substitute for professional medical advice, diagnosis or treatment. Each patient is unique and information provided in any educational forum must be tailored to each patient's unique situation. By recording this podcast, neither Children's, nor any provider, is engaged in the practice of medicine, nursing or any other health care service. Medical professionals and individual patient families should not attempt to use or rely upon any of the information provided to make medical decisions or to provide health care services. If you are a Children's employee and you have any questions about the content of this podcast, please discuss these with your supervisor. By listening to the podcast, you are agreeing with the terms of this disclaimer. All rights to this podcast are reserved. Copyright Children's Hospital & Medical Center 2020.

Dr. Joel Topf joins us on Rounds to discuss and review key concepts in the recognition and management of acute kidney injury (AKI) in the SICU. AKI is a common and morbid complication among hospitalized patients. Further, trauma and surgical patients, in particular, are at an increased risk for AKI due to the myriad of pre-, intra-, and postrenal insults that commonly occur at the time of injury, during resuscitation, surgery,, as well as from iatrogenic insults including IV contrast, NSAIDs, antibiotics (aminoglycosides and the infamous Pip/Tazo/Vanco ice cream sandwich). From the use of a DDAVP clamp in patients with severe hyponatremia to the use of balanced solutions in critically ill patients, kidney_boy breaks it down for us as only a true salt whisperer can!

The increase in acute kidney injury in COVID-19 patients is resulting in more utilization of renal replacement therapy (RRT) and continuous renal replacement therapy (CRRT).

The increase in acute kidney injury in COVID-19 patients is resulting in more utilization of renal replacement therapy (RRT) and continuous renal replacement therapy (CRRT).

In our latest episode we welcome Dr Oseya Renal Consultants at Northampton General Hospital to discuss indications for renal replacement therapy and specifics of haemodialysis.

Dr. Alison Grazioli, Assistant Professor at the University of Maryland, presents on CRRT in the ICU.

The Filtrate:Matt SparksJoel TopfSwapnil Hiremath COI: he was a sub-investigator on STARRTJennie LinAnd two special guests:Dr. Jay Koyner of the University of Chicago and #NephBBQ fame.Anitha Vijayan, professor of medicine at Wash U in St LouisShow Notes:The STARRT-AKI trial acronym is: Standard versus Accelerated Initiation of Renal-Replacement Therapy in Acute Kidney InjuryMatt suggests STAKRT-AKI Standard versus Accelerated Initiation of Kikdney-Replacement Therapy in Acute Kidney InjuryCoverage at NephJC: Time to Stop Starting RRT Early in AKIHouse of God by Samuel Shem. Contemporary Review in the New Yorker. AmazonRonco’s legendary dose of CRRT study. Lancet 2000.AJKD Meta analysis on initiation of dialysis in AKI by VF Seabra.Lead time biasTiming of Initiation of Dialysis in Critically Ill Patients with Acute Kidney Injury Initiation of dialysis by BUN in the Picard trial by Dr. Kathleen Liu.Jean-Luc PicardImmortal time biasAKIKI and ELAIN trials as covered by NephJCIssues surrounding informed consent in the ICUThe Chicago WayDr Palevsky’s ATN Study, AKA Intensity of Renal Support in Critically Ill Patients with Acute Kidney InjuryIs Irregardless A Word?Debate at Kidney Week: Intensivist vs Nephrologist for Renal Replacement Therapy (RRT) in the ICUInternal and External Validation of a Machine Learning Risk Score for Acute Kidney InjuryThat sweet sweet NephJC pot of goldFurosemide Stress Test and Biomarkers for the Prediction of AKI SeverityThai study that used FST to randomize patients for early versus late start KRT: Early versus standard initiation of renal replacement therapy in furosemide stress test non-responsive acute kidney injury patients (the FST trial)AKIKI 2 at clinical trials.govSwapnil’s Tubular secretion, the Twitter timeline of Oded RechaviMatt’s Tubular Secretion: #kidneydietchallengeAnitha comes from the land of coconuts. Lots of potassium in coconut water.The Skeleton Key Group on The Renal Fellow Network

Margaret M. Parker, MD, MCCM, speaks with Danny Hames, MD, on his article titled: Risk Factors for Mortality in Critically Ill Children Requiring Renal Replacement Therapy, published in the November 2019 issue of Pediatric Critical Care Medicine.

Margaret M. Parker, MD, MCCM, speaks with Danny Hames, MD, on his article titled: Risk Factors for Mortality in Critically Ill Children Requiring Renal Replacement Therapy, published in the November 2019 issue of Pediatric Critical Care Medicine.

 Continuous Renal Replacement Therapy (CRRT) involves pumping blood through a dialysis circuit. When the blood comes in contact with this surface it tends to clot which is why we anticoagulate blood that is being dialysed. CRRT involves and extended period of treatment at slower blood pump rates and is therefore more likely to clot. Citrate has quickly become the gold standard for anticoagulation due to the limited adverse events and a decrease in cost compared to the use of heparin. Citrate works by binding to ionised calcium therefore rendering it unable to perform in the clotting cascade. GCUH will be rolling out citrate for CRRT in November, so we had a chat to the driving force behind this Lisa Gray (Nursing educator) and Matt Ostwald (ICU Consultant).

Kyle B. Enfield, MD, and Michael J. Connor Jr, MD, discuss when to start renal replacement therapy (RRT) in critically ill patients

Kyle B. Enfield, MD, and Michael J. Connor Jr, MD, discuss when to start renal replacement therapy (RRT) in critically ill patients

Torsdag den 2. maj blev der afholdt Copenhagen Critical Care symposium. Vi deltog, bla. med en podcast hvor vi tog en snak med næsten alle talerne. Her får du deres 3-4 take homes points fra netop deres tale. Vi snakker om ledelse, opbygning af kultur, brandsårsbehandling og meget mere. Hør podcasten hvor de nyeste anbefalinger om brandsårsbehandling gennemgås, behandling for Rhabdomyolyse analyseres. Akronymet MONA aflives af Kardiolog Jens Rosenberg. En fantastisk session om lederskab og meget mere. Se tiderne for de forskellige emner her under 02:00 Lederskab med Thomas Bøllingtoft Knudsen,Randi Beier & Ture Larsen, Roger Harris14:50 Massetilskadekomst med Christina Hernon (US), Dan Lou Isbye og Kristian Andersen29:50 Critical care er ikke ét speciale med Monika Afzali Rubin og Karl Høeg40:15 Toxikologi - Christina Hernon (US), 45:21 Brandsår - Rikke Holmgaard, Christian Overgaard Steensen & Martin Risom Vestergaard51:50 Mythbusters - Jens Rosenberg, Jens Michelsen, Thomas Bøllingtoft Knudsen01:01:11 Critical Care litteratur update 2019 - Thomas Strøm ogLars Simon Rasmussen Abonner eller hent via iTunes for iOS og for android via Podbean. Nu også via TUNE IN Se vores egen Karl Høeg som vært på FOAMmedic Talk hvor han interviewer Læge Monika Afzali Rubin https://www.youtube.com/watch?v=WnrmbQCqPTg Links og referencer: Se hele cphcc2019 på vores søster blog scanFOAM https://www.youtube.com/watch?v=WLYujtTXfLQ Paper battle mellem Thomas Strøm og Lars S. Rasmussen, her er de fire artikler som blev debatteret, hør vores snak ved 01:01:11 i podcasten: Timing of Renal-Replacement Therapy in Acute Kidney Injury and Sepsis.Barbar SD, Dargent A, Quenot JP. N Engl J Med. 2019 Jan 24;380(4):399. Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults. Casey JD, Janz DR, Russell DW, Vonderhaar DJ, Joffe AM, Dischert KM, Brown RM, Zouk AN, Gulati S, Heideman BE, Lester MG, Toporek AH, Bentov I, Self WH, Rice TW, Semler MW; PreVent Investigators and the Pragmatic Critical Care Research Group. N Engl J Med. 2019 Feb 28;380(9):811-821 Effect of Cricoid Pressure Compared With a Sham Procedure in the Rapid Sequence Induction of Anesthesia: The IRIS Randomized Clinical Trial. Birenbaum A, Hajage D, Roche S, Ntouba A, Eurin M, Cuvillon P, Rohn A, Compere V, Benhamou D, Biais M, Menut R, Benachi S, Lenfant F, Riou B; IRIS Investigators Group. JAMA Surg. 2019 Jan 1;154(1):9-17 Sodium bicarbonate therapy for patients with severe metabolic acidaemia in the intensive care unit (BICAR-ICU): a multicentre, open-label, randomised controlled, phase 3 trial. Jaber S, Paugam C, Futier E, Lefrant JY, Lasocki S, Lescot T, Pottecher J, Demoule A, Ferrandière M, Asehnoune K, Dellamonica J, Velly L, Abback PS, de Jong A, Brunot V, Belafia F, Roquilly A, Chanques G, Muller L, Constantin JM, Bertet H, Klouche K, Molinari N, Jung B; BICAR-ICU Study Group. Lancet. 2018 Jul 7;392(10141):31-40 Støt FOAMmedics arbejde med 5 eller 10 kr pr. podcast. Hvis du har lyst til at støtte vores arbejde med at lave lækker lyd og skrift så klik ind på 10er.dk og støt os med 5, 10 eller 15 pr. podcast episode, så bliver vi så sindsygt stolte og glade. Eller klik på 10'er logo her under og en pop-up løsning kommer frem.

Le Docteur Saber Barbar nous parle de l'étude IDEAL-ICU publiée en octobre 2018 dans le NEJM comparant une stratégie précoce et une stratégie tardive d'initiation de l'épuration extra-rénale dans le choc septique Article en lien :Timing of Renal-Replacement Therapy in Patients with Acute Kidney Injury and Sepsis - N Engl J Med 2018; 379:1431-1442 - DOI: 10.1056/NEJMoa1803213

Todd Fraser, MD, speaks with Rinaldo Bellomo, MD, MBBS, FRACP, FCICM, FAAHMS, about the article Outcomes in Patients with Vasodilatory Shock and Renal Replacement Therapy Treated with Intravenous Angiotensin II

Todd Fraser, MD, speaks with Rinaldo Bellomo, MD, MBBS, FRACP, FCICM, FAAHMS, about the article Outcomes in Patients with Vasodilatory Shock and Renal Replacement Therapy Treated with Intravenous Angiotensin II

Ranjit Deshpande, MD, speaks with Rajit Basu, MD, MS, FCCM, about treating volume overload in the intensive care unit with renal replacement therapy.

Ranjit Deshpande, MD, speaks with Rajit Basu, MD, MS, FCCM, about treating volume overload in the intensive care unit with renal replacement therapy.

Renal Replacement Therapy: When to STARRT? by Professor Andrew Udy

In this Episode of Tox in Ten ACMT Highlights, co-host Dr. Gillian Beauchamp sits down with nephrologist and medical toxicologist Dr. Josh King to discuss the use of renal replacement therapy in poisoned patients. 

Alexander Hamilton, on behalf of his colleagues, summarizes their study, "Socio-demographic, Psychological Health and Lifestyle Outcomes in Young Adults on Renal Replacement Therapy".

Alexander Hamilton, on behalf of his colleagues, summarizes their study, "Socio-demographic, Psychological Health and Lifestyle Outcomes in Young Adults on Renal Replacement Therapy".

Sean P. Kane, PharmD, BCPS, speaks with Joshua Trob, MD about continuous renal replacement therapy. In the episode, the indications, timing of initiation, and intensity of renal replacement therapy are discussed.

Sean P. Kane, PharmD, BCPS, speaks with Joshua Trob, MD about continuous renal replacement therapy. In the episode, the indications, timing of initiation, and intensity of renal replacement therapy are discussed.

Today we talk to Stefano Cortellini, lecturer in emergency and critical care here at the RVC about the process and indications for Continuous Renal Replacement Therapy (CRRT) and Therapeutic Plasma Exchange (TPE). Further information about this therapy can be found here http://www.rvc.ac.uk/small-animal-referrals/advanced-techniques-and-specialist-procedures/continuous-renal-replacement-therapy   Information on acute kidney injury (AKI) and grading can be found on the website of the International Renal Interest Society (IRiS) here http://www.iris-kidney.com/guidelines/grading.html   The indications for considering treating patients with AKI are; metabolic acidosis, electrolyte imbalance (especially refractory hyperkalaemia), and uraemia. The patients we see, have a potential reversible cause, are often anuric and we can successfully catheterise.  tend to be most affected are those that are anuric. Some toxins can be removed by dialysis when different filters are used. TPE has been used for immune mediated diseases (IMHA, polyradiculoneuritis), and cutaneous and renal glomerular vasculopathy.   If you are in the UK and have a patient that you might think benefit from this therapy, then do not hesitate to contact the RVC http://www.rvc.ac.uk/small-animal-referrals/   Suggested reading. Review of CRRT and blood purification http://onlinelibrary.wiley.com/doi/10.1111/vec.12028/abstract Single pass lipid dialysis for ivermectin toxicosis http://onlinelibrary.wiley.com/doi/10.1111/vec.12581/abstract Therapeutic plasmapheresis in IMHA http://onlinelibrary.wiley.com/doi/10.1111/j.1476-4431.2009.00431.x/abstract     If you have any comments about this podcast, please get in touch (email dbarfield@rvc.ac.uk; tweet @dombarfield or @RoyalVetCollege using #rvcpod; or use the RVC facebook page). We would greatly appreciate your time to rate us on iTunes and write a review.

Today we talk to Stefano Cortellini, lecturer in emergency and critical care here at the RVC about the process and indications for Continuous Renal Replacement Therapy (CRRT) and Therapeutic Plasma Exchange (TPE). Further information about this therapy can be found here http://www.rvc.ac.uk/small-animal-referrals/advanced-techniques-and-specialist-procedures/continuous-renal-replacement-therapy Information on acute kidney injury (AKI) and grading can be found on the website of the International Renal Interest Society (IRiS) here http://www.iris-kidney.com/guidelines/grading.html The indications for considering treating patients with AKI are; metabolic acidosis, electrolyte imbalance (especially refractory hyperkalaemia), and uraemia. The patients we see, have a potential reversible cause, are often anuric and we can successfully catheterise.  tend to be most affected are those that are anuric. Some toxins can be removed by dialysis when different filters are used. TPE has been used for immune mediated diseases (IMHA, polyradiculoneuritis), and cutaneous and renal glomerular vasculopathy. If you are in the UK and have a patient that you might think benefit from this therapy, then do not hesitate to contact the RVC http://www.rvc.ac.uk/small-animal-referrals/ Suggested reading. Review of CRRT and blood purification http://onlinelibrary.wiley.com/doi/10.1111/vec.12028/abstract Single pass lipid dialysis for ivermectin toxicosis http://onlinelibrary.wiley.com/doi/10.1111/vec.12581/abstract Therapeutic plasmapheresis in IMHA http://onlinelibrary.wiley.com/doi/10.1111/j.1476-4431.2009.00431.x/abstract   If you have any comments about this podcast, please get in touch (email dbarfield@rvc.ac.uk; tweet @dombarfield or @RoyalVetCollege using #rvcpod; or use the RVC facebook page). We would greatly appreciate your time to rate us on iTunes and write a review.

Children’s Mercy is one of only a handful of programs across the nation using a unique bridging technique called Rapid Exchange of Continuous Renal Replacement Therapy (RECRRT) for children diagnosed with acute kidney injury. By consistently using RECRRT, Children’s Mercy has become proficient in the bridging technique, resulting in significantly less blood exposure and therapy downtime for these critically ill children. The technique’s primary goal is to reduce exposure to blood products for these patients. Vimal Chadha, MD, Pediatric Nephrologist explains how this technique helps lower the risk for iron overload, transfusion reactions, exposure to infectious agents and sensitization to different antigens that could jeopardize a future kidney transplant.

Chronic kidney disease (CKD) is a common problem in cats and dogs, especially as they get older. In the first podcast on CKD we discussed topics such as the anatomy and function of the kidney, why the kidney may become dysfunctional and what the consequences are, some terminology, and causes of kidney disease. In this second part we will look at clinical aspects of CKD in terms of patient approach and management, covering topics such as suspecting and making the diagnosis, IRIS staging, treatment and prognosis. I am joined once again by Dr Rosanne Jepson who is a Lecturer in Internal Medicine at the RVC and also a member of the Renal Replacement Therapy team at the QMHA. Rosanne has a special interest in nephrology in particular. As mentioned in the podcast, do check out the International Renal Interest Society (IRIS) website. As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page). Please rate the podcasts in iTunes and write a review too! Thanks.

Chronic kidney disease (CKD) is a common problem in cats and dogs, especially as they get older. In the first podcast on CKD we discussed topics such as the anatomy and function of the kidney, why the kidney may become dysfunctional and what the consequences are, some terminology, and causes of kidney disease. In this second part we will look at clinical aspects of CKD in terms of patient approach and management, covering topics such as suspecting and making the diagnosis, IRIS staging, treatment and prognosis. I am joined once again by Dr Rosanne Jepson who is a Lecturer in Internal Medicine at the RVC and also a member of the Renal Replacement Therapy team at the QMHA. Rosanne has a special interest in nephrology in particular. As mentioned in the podcast, do check out the International Renal Interest Society (IRIS) website. As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page). Please rate the podcasts in iTunes and write a review too! Thanks.

Chronic kidney disease (CKD) is a common problem in cats and dogs, especially as they get older. In this first of two podcasts on CKD we discuss topics such as the anatomy and function of the kidney, why the kidney may become dysfunctional and what the consequences are, some terminology, and causes of kidney disease. In the second part we will look at clinical aspects of CKD in terms of patient approach and management. I am joined for both episodes once again by Dr Rosanne Jepson who is a Lecturer in Internal Medicine at the RVC and also a member of the Renal Replacement Therapy team at the QMHA. Rosanne has a special interest in nephrology in particular. As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page). Please rate the podcasts in iTunes and write a review too! Thanks.

Chronic kidney disease (CKD) is a common problem in cats and dogs, especially as they get older. In this first of two podcasts on CKD we discuss topics such as the anatomy and function of the kidney, why the kidney may become dysfunctional and what the consequences are, some terminology, and causes of kidney disease. In the second part we will look at clinical aspects of CKD in terms of patient approach and management. I am joined for both episodes once again by Dr Rosanne Jepson who is a Lecturer in Internal Medicine at the RVC and also a member of the Renal Replacement Therapy team at the QMHA. Rosanne has a special interest in nephrology in particular. As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page). Please rate the podcasts in iTunes and write a review too! Thanks.

Over the last 18 months or so a number of dogs in the United Kingdom have been affected by a disorder which causes skin lesions initially followed within a few days by signs of acute kidney injury. Histopathology in these cases has shown cutaneous and renal glomerular vasculopathy consistent with changes seen in a condition known as Alabama Rot, described in North America but not previously reported in the UK. In this podcast we discuss the experience with this disorder in the UK thus far and illustrate what is – or more accurately – what is not known about this disorder. The podcast features Dr Rosanne Jepson who is a Lecturer in Internal Medicine at the RVC and also a member of the Renal Replacement Therapy team at the QMHA. Rosanne has a special interest in nephrology in particular. A couple of links mentioned in the podcast include: Forestry Commission (England) website which has a list of the reported cases including their geographical distribution The Animal Health Trust questionnaire has now closed. Another source of further information about the disease is Anderson Moores. If you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Over the last 18 months or so a number of dogs in the United Kingdom have been affected by a disorder which causes skin lesions initially followed within a few days by signs of acute kidney injury. Histopathology in these cases has shown cutaneous and renal glomerular vasculopathy consistent with changes seen in a condition known as Alabama Rot, described in North America but not previously reported in the UK. In this podcast we discuss the experience with this disorder in the UK thus far and illustrate what is – or more accurately – what is not known about this disorder. The podcast features Dr Rosanne Jepson who is a Lecturer in Internal Medicine at the RVC and also a member of the Renal Replacement Therapy team at the QMHA. Rosanne has a special interest in nephrology in particular. A couple of links mentioned in the podcast include: Forestry Commission (England) website which has a list of the reported cases including their geographical distribution The Animal Health Trust questionnaire has now closed. Another source of further information about the disease is Anderson Moores. If you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Dr. Deborah Stein returns for another core content lecture, this time giving a crash course on hemodialysis, CRRT, CVVH, CVVHD, and a number of other concepts about managing acute renal failure in the ICU.  For this lecture, Dr. Stein went “old school” and brought us back to the greaseboard.  This ...

Tue, 1 Jan 2013 12:00:00 +0100 https://epub.ub.uni-muenchen.de/23145/1/cc11928.pdf Lang, Susanne M.; Schiffl, Helmut

Matthew Paden, MD, discusses his Pediatric Critical Care Medicine article: Recovery of Renal Function and Survival After Continuous Renal Replacement Therapy During Extracorporeal Membrane Oxygenation.

Matthew Paden, MD, discusses his Pediatric Critical Care Medicine article: Recovery of Renal Function and Survival After Continuous Renal Replacement Therapy During Extracorporeal Membrane Oxygenation.

Renal replacement therapy (RRT) is rather a confusing topic.  What do all those initials mean and why use one therapy over another?  This podcast will explain the difference between intermittent and continous.   What are the various forms of continuous and how do they differ?   What are the concepts of ultrafiltration, diffusion, and convection?  These questions will be answered in this introduction to renal replacement.