SCCM Resource Library-Squeezing the Beans: Critical Care Nephrology

Video Transcription

Video Summary

This session on pediatric critical care nephrology discusses the impact of fluid on patients in the ICU, both under and over fluid overload, as well as the appropriate treatment and timing for fluid administration. The session also explores AKI biomarkers and their use at the bedside, as well as the selection of renal replacement therapies for AKI. The speakers highlight the detrimental effects of excess fluid and the importance of balancing life-saving therapies with the risks of fluid overload. They discuss the current practices and guidelines for fluid management in the pediatric ICU, emphasizing the need for more conservative fluid management. The session also addresses the use of biomarkers to predict and diagnose AKI, and the role of biomarkers in guiding treatment decisions. The speakers advocate for a shift in culture and decision-making, where fluids are considered as medications and receive the same attention and consideration as other treatments. They conclude by emphasizing the need for reevaluating current practices and adopting a more patient-centered approach to fluid management and renal replacement therapy selection.

Asset Subtitle

Renal, Pharmacology, 2021

Asset Caption

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 2021 Critical Care Congress held virtually from January 31-February 12, 2021.

Learning Objectives

Discuss the basics and advances in the delivery of continuous renal replacement therapy
Review the current state of biomarkers to assess renal function in the pediatric ICU
Compare the different modes of renal replacement therapy available in the pediatric ICU

Impact on Over- and Underhydration on Outcomes in the Pediatric ICU
Matthew Barhight

Biomarkers in the Management of Acute Kidney Injury: Fact or Fiction
Rajit Basu

Modes of Renal Replacement Therapy: Old, New, and Everything in Between
Theresa Mottes

Meta Tag

Content Type Presentation

Knowledge Area Renal

Knowledge Area Pharmacology

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Tag Kidney

Tag Renal Replacement Therapy

Tag Fluids Resuscitation Management

Year 2021

Keywords

pediatric critical care nephrology

fluid impact on patients

ICU fluid overload

fluid administration timing

AKI biomarkers

renal replacement therapies

conservative fluid management

biomarkers in AKI prediction

patient-centered fluid management

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