SCCM Resource Library-Severe Acidemia and Hypoxemia in Kidney and Respiratory Failure: The Nephrologist's View

Severe Acidemia and Hypoxemia in Kidney and Respiratory Failure: The Nephrologist's View

Video Transcription

Video Summary

The lecture discusses the critical role of nephrologists in managing acute kidney injury (AKI) within the ICU, emphasizing their collaboration with intensivists. The talk highlights the complex interaction between lung and kidney pathologies, particularly in conditions like ARDS, where mechanical ventilation can exacerbate kidney issues. The importance of monitoring biomarkers and urinary output to assess AKI risk is covered, alongside the implications for long-term kidney function when stages worsen. A focus is placed on careful fluid management to prevent volume overload, which can lead to systemic complications. The discourse includes considerations for renal replacement therapy, especially for cases of severe acidosis or volume overload, advocating for the use of continuous renal replacement therapy (CRRT) due to its better tolerability. Managing acidosis through CRRT and the limited role of bicarbonate in mixed acidosis is also examined. Ultimately, personalized and dynamic patient management is advocated for optimizing outcomes.

Asset Caption

One-Hour Concurrent Session | At the Nexus of Acid, Oxygen, Dialysis, and Ventilation: The Patient With Kidney and Respiratory Failure

Meta Tag

Content Type Presentation

Membership Level Professional

Membership Level Select

Year 2024

Keywords

nephrologists

acute kidney injury

intensive care unit

renal replacement therapy

biomarkers

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