Acute Kidney Injury in In Paediatrics

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Amount of Fluid is Important ! • The question of fluid management does not end with choice BUT • Consideration of amount of fluid given is as important. • Fluid overload (FO) can be calculated as follows: FO = fluid input (in litres) - fluid output (in litres) ICU admission weight (in kilograms) • Askenazi DJ, et al:. Pediatr Crit Care Med 2011; 12:e1– e6
Cumulative Fluid Overload • The prospective paediatric continuous renal replacement therapy (ppCRRT) registry shows that : • Children who receive CRRT and have higher percentage fluid overload (> 20%) at initiation have higher chance of death • despite controlling for severity of illness and other important confounders. • Sutherland SM, et al. Am J Kidney Dis 2010; 55:316–325.
Page 1 and 2: Acute Kidney Injury In Paediatrics
Page 3 and 4: What is AKI? • A sudden deteriora
Page 5 and 6: Long Term Outcomes • At 3 to 5-yr
Page 7 and 8: RIFLE vs AKIN
Page 9 and 10: pRIFLE CLASS Change in eCCl Urine O
Page 11 and 12: Biomarkers • The pRIFLE, RIFLE an
Page 13 and 14: Biomarkers • The quest to find ea
Page 15 and 16: NGAL • Urine NGAL > 50ug/ml predi
Page 17 and 18: IL-18 • Induced in the proximal r
Page 19 and 20: Management • Prevention of AKI is
Page 21 and 22: Ways to Prevent Contrast-Induced Ne
Page 23 and 24: Ways to Prevent Contrast-Induced
Page 25 and 26: Common Nephrotoxins in ICU EXOGENOU
Page 27 and 28: Management General principles of
Page 29 and 30: Maintain Renal Perfusion Vasopresso
Page 31 and 32: Maintain Renal Perfusion • Renal
Page 33: Maintain Renal Perfusion Choice of
Page 37 and 38: Nutritional Support • Nutrition i
Page 39 and 40: Renal Replacement Therapy • Curre
Page 41 and 42: Timing of RRT • In paediatrics, t
Page 43 and 44: Differences between adult and • P
Page 45 and 46: Differences between adult and • P
Page 47 and 48: With CRRT • We must continually w
Page 49 and 50: Conclusions • Management of AKI i
Page 51 and 52: Conclusion • However, paediatric

Acute Kidney Injury in In Paediatrics

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