Critical Care Time 20. AKI & CRRT with Dr Kevin Chung
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Mar 25, 2024 Dr. Kevin Chung discusses AKI and CRRT, demystifying the elements of continuous renal replacement therapy. They explore collaborative management of AKI and CRRT by nephrologists and intensivists, managing contrast-induced nephropathy, understanding CRRT and dialysis modalities, optimal timing for intervention in critical care cases, logistics and anticoagulation in CRRT, and evolving critical care technologies and therapies.
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Origin of CRRT Interest
- Dr. Chung's interest in AKI and CRRT began at the Army Burn Center.
- He saw high AKI prevalence in burn patients, leading him to create a CRRT program.
Intensivist-Led CRRT
- Intensivists manage organ failure, so managing CRRT is analogous to managing ventilators.
- Different CRRT management models exist, with intensivist-led, hybrid, and nephrologist-led approaches.
Fluid Management in AKI
- Use Lasix liberally in AKI patients to maintain fluid balance.
- Consider adding albumin to Lasix for hyperproteinemic ARDS patients if needed.