SCCM Podcast SCCM Pod-531: CRRT Fluid Strategies: What Clinicians Need to Know
Dec 26, 2024
In this engaging discussion, Raghavan Murugan, a leading professor in critical care nephrology, shares insights on fluid management during continuous renal replacement therapy (CRRT). He highlights the vital role of CRRT in supporting patients with acute kidney injury and the importance of choosing CRRT over intermittent hemodialysis for unstable patients. Dr. Murugan addresses key challenges in fluid management, the need for validated protocols, and new monitoring tools while advocating for integrating fluid management targets into ICU care. Tune in for essential strategies to enhance patient outcomes!
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CRRT Mimics Continuous Kidney Function
- CRRT is a continuous, gentle method for solute and fluid control in severe AKI patients.
- It allows more precise and flexible electrolyte and volume management than intermittent hemodialysis.
Indications Favoring CRRT Over IHD
- Use CRRT for severe hyperkalemia, severe uremia, and refractory fluid overload.
- Prefer CRRT when patients are hemodynamically unstable and need continuous volume control.
Dissociate Solute Control From Volume Removal
- CRRT runs continuously like native kidneys and lets you decouple solute from fluid removal.
- You can independently adjust solute clearance and ultrafiltration to tailor therapy.