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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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.
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 Complications in Children

  • The AWARE study linked AKI in children to higher mortality, ventilation needs, and RRT.
  • Even after recovery, AKI can lead to chronic hypertension, proteinuria, and chronic kidney disease.
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