PedsCrit

Acute Kidney Injury with Dr. Archana Dhar and Dr. Molly McGetrick--Part 1

24 snips
Sep 20, 2021
Guest
Molly McGetrick
Guest
Archana Dhar
Dr. Archana Dhar and Dr. Molly McGetrick discuss acute kidney injury (AKI) in the pediatric critical care setting, including the definition, diagnosis, and management according to the KDIGO guidelines. They also delve into the categories and causes of AKI, special populations at higher risk, and the causes of AKI in septic and oncology patients.
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INSIGHT

AKI Impact

  • Acute kidney injury (AKI) affects up to 30% of PICU patients, and even more (50%) of post-bypass patients.
  • AKI leads to longer stays, increased ICU resource use, and higher morbidity/mortality.
ADVICE

AKI: The Fifth Vital Sign

  • Consider AKI as the "fifth vital sign" and monitor urine output closely.
  • AKI is subtle and often missed, so actively look for it.
INSIGHT

Defining AKI

  • AKI is defined as a decline in kidney function within seven days, sometimes persisting beyond 48 hours.
  • The KDIGO classification allows for AKI diagnosis in as little as six hours based on urine output or creatinine changes.
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