AI-powered
podcast player
Listen to all your favourite podcasts with AI-powered features
PedsCrit
Acute Kidney Injury with Dr. Archana Dhar and Dr. Molly McGetrick, Part 3
Oct 4, 2021
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.
22:11
Episode guests
AI Summary
AI Chapters
Episode notes
Podcast summary created with Snipd AI
Quick takeaways
- The Renal Angina Index is a useful tool for risk stratification and early identification of acute kidney injury (AKI), taking into account various factors such as mechanical ventilation, serum creatinine levels, and fluid accumulation.
- Studies like the AWARE study and the Awakened Trial emphasize the negative long-term outcomes of AKI in children, including increased mortality rates, chronic hypertension, and renal disease, highlighting the importance of early identification and management.
Deep dives
The Renal Angina Index and its Role in Predicting AKI
The Renal Angina Index is a stratification tool used to score patients based on their risk and injury severity, which helps predict the development of acute kidney injury (AKI). The index takes into account factors such as the need for mechanical ventilation or vasoactive medications, history of organ or stem cell transplant, and ICU admission. It also considers serum creatinine compared to baseline levels and percentage of fluid accumulation. The index scores patients on a scale of 1 to 40, with a score of 8 or higher indicating renal angina. Several centers, such as Cincinnati, utilize this index to determine the need for early continuous renal replacement therapy (CRRT) or other interventions like the Lasix Challenge Test. The Renal Angina Index has been shown to be a sensitive and specific marker for early identification of renal injury.
Get the Snipd
podcast app
Unlock the knowledge in podcasts with the podcast player of the future.
AI-powered
Discover
highlights
Listen to the best highlights from the podcasts you love and dive into the full episode
Save any
moment
Hear something you like? Tap your headphones to save it with AI-generated key takeaways
Share
& Export
Send highlights to Twitter, WhatsApp or export them to Notion, Readwise & more
AI-powered
podcast player
Listen to all your favourite podcasts with AI-powered features
Discover
highlights
Listen to the best highlights from the podcasts you love and dive into the full episode