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Categories and Causes of Acute Kidney Injury in the ICU
This chapter explores the different categories of acute kidney injury (AKI) in the ICU, including pre-renal, post-renal, and intrinsic causes. It also discusses the common medications that can contribute to intrinsic renal injury and the importance of fluid stewardship in managing AKI.
Dr. Dhar is a is an Associate Professor of Pediatrics and practicing pediatric intensivist at Children’s Medical Center and UT Southwestern in Dallas.
Dr. McGetrick recently completed her pediatric critical care fellowship training at UT Southwestern and is a current pediatric cardiovascular ICU fellow at Texas Children’s.
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After listening to this series of episodes, learners should be able to:
References:
Sethi SK, Bunchman T, Chakraborty R, Raina R. Pediatric acute kidney injury: new advances in the last decade. Kidney Res Clin Pract. 2021 Mar;40(1):40-51. doi: 10.23876/j.krcp.20.074. Epub 2021 Mar 3. PMID: 33663033; PMCID: PMC8041642.
Alobaidi R, Anton N, Burkholder S, Garros D, Garcia Guerra G, Ulrich EH, Bagshaw SM. Association Between Acute Kidney Injury Duration and Outcomes in Critically Ill Children. Pediatr Crit Care Med. 2021 Feb 26. doi: 10.1097/PCC.0000000000002679. Epub ahead of print. PMID: 33729733.
Kaddourah A, Basu RK, Bagshaw SM, Goldstein SL; AWARE Investigators. Epidemiology of Acute Kidney Injury in Critically Ill Children and Young Adults. N Engl J Med. 2017;376(1):11-20. doi:10.1056/NEJMoa1611391
Hessey E, Melhem N, Alobaidi R, Ulrich E, Morgan C, Bagshaw SM, Sinha MD. Acute Kidney Injury in Critically Ill Children Is Not all Acute: Lessons Over the Last 5 Years. Front Pediatr. 2021 Mar 15;9:648587. doi: 10.3389/fped.2021.648587. PMID: 33791260; PMCID: PMC8005629.
Basu RK, Kaddourah A, Terrell T, et al. Assessment of Worldwide Acute Kidney Injury, Renal Angina and Epidemiology in critically ill children (AWARE): study protocol for a prospective observational study. BMC Nephrol. 2015;16:24.
Schneider J, Khemani R, Grushkin C, Bart R. Serum creatinine as stratified in the RIFLE score for acute kidney injury
How to support PedsCrit:
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Please 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.
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