SCCM Resource Library-So When Do I Start RRT in the Critically Ill Adult Patient?

Video Transcription

Video Summary

In this video, Dr. Sean Bagshaw discusses the timing of renal replacement therapy (RRT) initiation in critically ill patients. He mentions that existing clinical practice guidelines are outdated and do not provide strong recommendations on when to start RRT. The decision to initiate RRT is subjective and based on a clinician's integration of available bedside information, evidence base, and resource availability. Dr. Bagshaw discusses the results of recent trials, including the START-AKI trial, which found no difference in mortality between early and delayed strategies for RRT initiation. He also mentions the AKIKI-2 trial, which showed that excessive delay in RRT initiation may be harmful. Dr. Bagshaw suggests that there is still uncertainty regarding the timing of RRT initiation and that new tools, such as biomarkers like urinary CCL14, may aid clinicians in decision-making. He concludes by emphasizing the complexity of the decision and the need for further research and clinical trials.

Asset Subtitle

Renal, 2022

Asset Caption

Extensive effort has been expended to determine the association between the timing of renal replacement therapy (RRT) initiation and patient outcome. Landmark trials have been published during the past few years, studying thousands of patients from all over the world. What have we learned? What will change? What lessons are applicable and what require more attention? This session will discuss the headlines, nuances, and lessons that are appropriate to extrapolate, as well as those that may not be, as the use of RRT expands in all areas of critical care.

Meta Tag

Content Type Presentation

Knowledge Area Renal

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Tag Renal Replacement Therapy

Year 2022

Keywords

renal replacement therapy

RRT initiation

clinical practice guidelines

timing of RRT initiation

biomarkers

	Society of Critical Care Medicine 500 Midway Drive Mount Prospect, IL 60056 USA Phone: +1 847 827-6888 Fax: +1 847 439-7226 Email: support@sccm.org	Contact Us About SCCM Newsroom Advertising & Sponsorship DONATE	MySCCM LearnICU Patients & Families Surviving Sepsis Campaign Critical Care Societies Collaborative	GET OUR NEWSLETTER
© Society of Critical Care Medicine. All rights reserved. \| Privacy Statement \| Terms & Conditions The Society of Critical Care Medicine, SCCM, and Critical Care Congress are registered trademarks of the Society of Critical Care Medicine.