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ABSTRACTS from 16th International COnference on ... - CRRT Online

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G23<br />

Pediatric <strong>CRRT</strong>: The Basics<br />

Jordan M. Sym<strong>on</strong>s MD<br />

10:00-11:30<br />

Wednesday, February 15<br />

Educati<strong>on</strong>al Objectives:<br />

Faculty:<br />

Geoffrey Fleming<br />

Scott Sutherland<br />

Jordan Sym<strong>on</strong>s<br />

Michael Zappitelli<br />

Objectives:<br />

1. Recognize epidemiology of acute kidney injury and the indicati<strong>on</strong>s for <strong>CRRT</strong> in pediatric patients<br />

2. Discuss the special technical c<strong>on</strong>siderati<strong>on</strong>s for pediatric <strong>CRRT</strong> and how they differ <str<strong>on</strong>g>from</str<strong>on</strong>g> adults<br />

3. Understand the predicted outcomes for children who receive <strong>CRRT</strong><br />

C<strong>on</strong>tent Descripti<strong>on</strong>:<br />

The critically ill child who requires c<strong>on</strong>tinuous renal replacement therapy (<strong>CRRT</strong>) presents challenges that differ<br />

<str<strong>on</strong>g>from</str<strong>on</strong>g> those encountered with adult patients. Children can vary in size <str<strong>on</strong>g>from</str<strong>on</strong>g> less than <strong>on</strong>e kilogram to greater than<br />

100 kg in weight, have a broad range of cognitive and developmental capabilities, and may have different medical<br />

problems <str<strong>on</strong>g>from</str<strong>on</strong>g> those of adults. Further, devices and techniques are generally developed for the adults, rather<br />

than for the pediatric patient. Despite these challenges, <strong>CRRT</strong> has gained str<strong>on</strong>g support as a useful tool to care<br />

for the critically ill child with acute kidney injury. Our sessi<strong>on</strong> will present informati<strong>on</strong> <strong>on</strong> the epidemiology of<br />

acute kidney injury in children, the indicati<strong>on</strong>s for the use of <strong>CRRT</strong>, technical issues and approaches unique to<br />

the care of the pediatric patient receiving <strong>CRRT</strong>, and the outcome of <strong>CRRT</strong> for children. Sessi<strong>on</strong> faculty welcome<br />

interacti<strong>on</strong> and discussi<strong>on</strong> during our presentati<strong>on</strong> – we look forward to having all participants share ideas<br />

and experience.<br />

Suggested Reading:<br />

1. Brophy PD et al. Multi-centre evaluati<strong>on</strong> of anticoagulati<strong>on</strong> in patients receiving c<strong>on</strong>tinuous renal replacement<br />

therapy (<strong>CRRT</strong>). Nephrol Dial Transplant (2005) 20:1416-21.<br />

2. Goldstein SL et al. Pediatric patients with multi-organ dysfuncti<strong>on</strong> syndrome receiving c<strong>on</strong>tinuous renal<br />

replacement therapy. Kidney <str<strong>on</strong>g>Internati<strong>on</strong>al</str<strong>on</strong>g> (2005) 67:653-8.<br />

3. Hackbarth R et al. The effect of vascular access locati<strong>on</strong> and size <strong>on</strong> circuit survival in pediatric c<strong>on</strong>tinuous<br />

renal replacement therapy: A report <str<strong>on</strong>g>from</str<strong>on</strong>g> the pp<strong>CRRT</strong> registry. Int J Art Int Organs (2007) 30:1116-21.<br />

4. Mammen C et al. L<strong>on</strong>g-term Risk of CKD in Children Surviving Episodes of Acute Kidney Injury in the<br />

Intensive Care Unit: A Prospective Cohort Study. Am J Kidney Dis (2012) <strong>Online</strong> Dec 28th 2011.<br />

5. Schneider J et al. Serum creatinine as stratified in the RIFLE score for acute kidney injury is associated with<br />

mortality and length of stay for children in the pediatric intensive care unit. Crit Care Med (2010) 38:933-9.<br />

6. Sutherland SM et al. Fluid overload and mortality in children receiving c<strong>on</strong>tinuous renal replacement therapy:<br />

the prospective pediatric c<strong>on</strong>tinuous renal replacement therapy registry. Am J Kidney Dis (2010) 55:316-25.<br />

7. Sym<strong>on</strong>s JM et al. Demographic Characteristics of Pediatric C<strong>on</strong>tinuous Renal Replacement Therapy: A<br />

Report of the Prospective Pediatric C<strong>on</strong>tinuous Renal Replacement Therapy Registry. Clin J Am Soc Nephrol<br />

(2007) 2:732-8.<br />

8. Zappitelli M et al. Protein and calorie prescripti<strong>on</strong> for children and young adults receiving c<strong>on</strong>tinuous renal<br />

replacement therapy: a report <str<strong>on</strong>g>from</str<strong>on</strong>g> the Prospective Pediatric C<strong>on</strong>tinuous Renal Replacement Therapy Registry<br />

Group. Crit Care Med (2008) 36:3239-45.<br />

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