SCCM Podcast SCCM Pod-531: CRRT Fluid Strategies: What Clinicians Need to Know
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Dec 26, 2024 Host Ludwig Lin welcomes Dr. Raghavan Murugan, a leading expert from the University of Pittsburgh, to delve into fluid management strategies during continuous renal replacement therapy (CRRT). They discuss how updated practices can improve outcomes for acute kidney injury patients. Dr. Murugan highlights the importance of individualized fluid removal techniques, the balancing act required for hemodynamic stability, and the integration of new tools for assessing fluid status. The conversation underscores the critical role of education in enhancing patient care in ICU settings.
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CRRT Indications
- Consider CRRT for patients with severe hyperkalemia, uremia, or fluid overload.
- CRRT offers precise control and can be used for fluid regulation or removal.
CRRT vs. IHD
- CRRT is a gentler, continuous method for electrolyte and fluid management than IHD.
- It allows for more precise control and independent regulation of solute and fluid removal.
IHD Indications
- Use IHD for hemodynamically stable patients needing solute management.
- Transition from CRRT to IHD as patients stabilize and improve.