PedsCrit

Acute Kidney Injury with Dr. Archana Dhar and Dr. Molly McGetrick, Part 3

19 snips
Oct 4, 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 diagnosing AKI according to the KDIGO guidelines, the use of biomarkers and the renal angina index for risk stratification, and therapeutic agents such as low dose dopamine. They also highlight the importance of vigilance and monitoring urine output in the ICU population.
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ADVICE

Renal Angina Index

  • Consider the Renal Angina Index to assess AKI risk.
  • This tool stratifies patients based on risk factors and injury markers.
INSIGHT

AKI and Patient Outcomes

  • AKI increases patients' risks for negative outcomes like mortality and prolonged hospital stays.
  • Early diagnosis is crucial for mitigating these risks.
INSIGHT

AKI in Neonates

  • The Awakened Trial revealed 30% of neonates experience AKI, with higher rates in preemies.
  • AKI increased the odds of death fivefold, linked to sepsis, surgery, nephrotoxic drugs, but caffeine seemed protective.
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