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

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CRRT 2012 SEVENTEENTH INTERNATIONAL CONFERENCE ON CONTINUOUS RENAL REPLACEMENT THERAPIES February 14-17, 2012 Hilton San Diego Bayfront San Diego, California SYLLABUS TABLE OF CONTENTS CME Information and Faculty Disclosure Statements ………………………………………2 Organizing Committee and Faculty List ………………………………………………………5 Acknowledgements………………………………………………………………………………9 Schedule and Index for Presentation Outlines: PLENARY SESSIONS - Mini-Symposia WEDNESDAY SESSION I: PATIENT CHARACTERISTICS 1:10pm-6:30pm …………………………………10 LUNCH FORUMS ………………………………………………………………………………10 THURSDAY SESSION II: EMERGING CONCEPTS IN AKI AND CRITICAL CARE 9:45am-12:40pm ………12 SESSION II CONTINUES 2:00pm-6:00pm…………………………………………13 LUNCH FORUMS ………………………………………………………………………12 & 13 FRIDAY SESSION III: TECHNIQUE CHARACTERISTICS 7:30am-10:00am …………………………15 SESSION IV: FUTURE TRENDS IN CRRT AND CRITICAL CARE 10:30am-1:00pm……………16 STANDARD WORKSHOPS TUESDAY Workshop Group 1 - 4:00pm-5:30pm - A01, B02, C03, D04, E05, F06, G07, H08 WEDNESDAY Workshop Group 2 - 8:15am-9:45am - A09, B10, C11, D12, E13, F14, G15, H16 Workshop Group 3 -10:00am-11:30am - A17, B18, C19, D20, E21, F22, G23, H24 THURSDAY Workshop Group 4 - 8:00am-9:30am - A25, B26, C27, D28, E29, F30, G21, H32 ELECTIVE WORKSHOPS - HW1, HW2, HW3, HW4, HW5, HW6 Separate materials will be handed out in individual elective workshops Please note that CME Credit does not apply to workshop HW2 POSTERS - Please note that CME Credit does not apply to Poster Sessions. ………17 ………18 ………19 …………20 Poster List and Abstract Index …………………………………………………………21 Poster Abstracts ………………………………………………………………………………121 1
CME CRRT 2012 CONFERENCE DESCRIPTION AND LEARNER OBJECTIVES The CRRT conference is designed to provide an up-to-date review of the latest developments and research in the field of ICU medicine, acute kidney injury and CRRT. The conference is structured to promote multidisciplinary interaction among specialists in nephrology, critical care, nursing support personnel and industry involved in the care of the critically ill patient. A combination of invited lectures, lively debates, panel discussions, interactive workshops, oral and poster presentations will be presented at the conference. At the end of this conference attendees should be able to: 1. Discuss the pathophysiology of critical illness and acute kidney injury. 2. Describe the principles and practice of CRRT techniques and their application. 3. Recognize key features for fluid management, hemodynamic monitoring and resuscitation for critically ill patients. NEEDS ASSESSMENT Acute kidney injury (AKI) is a common, heterogeneous and detrimental clinical condition that has significant attributable morbidity and mortality. Despite major advances in understanding the epidemiology, pathogenesis and outcomes of AKI, the preventive measures remain inadequate and therapeutic approaches (except for renal replacement therapy) have largely proven futile so far. Recent publications <strong>from</strong> several international consensus conferences including the Acute Kidney Injury network (AKIN) (CJASN May 2008 vol. 3 no. 3 887-894)); the American Thoracic Society (ATS), European Respiratory Society (ERS) , European Society of Intensive Care Medicine (ESICM), Society of Critical Care Medicine (SCCM), and the Société de Réanimation de Langue Française (SRLF) (Am J Respir Crit Care Med. 2010 May 15;181(10):1128-55) have highlighted several gaps in our knowledge particularly in the following areas: 1. Pathophysiology and diagnosis of AKI in critically ill patients 2. Management strategies for prevention, treatment and follow up of patients with AKI 3. Optimal strategies for initiating and delivering dialysis with continuous renal replacement therapies (CRRT), intermittent hemodialysis (IHD) and peritoneal dialysis (PD) for the support of patients with AKI and multiple organ failure. The 17th <strong>International</strong> CRRT conference addresses these needs focusing on the recent advances in our understanding of mechanisms, pathways of AKI and its effects on other organs, pathophysiology of critical illness, acute kidney injury, emerging strategies in the management of sepsis, multiorgan failure, development and use of biomarkers, technical advances in CRRT and the appropriate utilization of these techniques. TARGET AUDIENCE The CRRT target audience includes: MD/DOs, NP/PA/Nurses, Dieticians, Industry, Pharmacists, Residents and Fellows. Specialties include: Anesthesiology, Cellular & Molecular Medicine, Critical Care, Emergency Medicine, Family & Preventive Medicine, Geriatrics, and Internal Medicine. ACCREDITATION STATEMENT This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the University of California, San Diego School of Medicine and CRRT, Inc. The University of California, San Diego School of Medicine is accredited by the ACCME to provide continuing medical education for physicians. The University of California, San Diego School of Medicine designates this live activity for a maximum of 35 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. BRN: For the purpose of recertification, the American Nurses Credentialing Center accepts 35 AMA PRA Category 1 Credits issued by organizations accredited by the ACCME. For the purpose of relicensure, the California Board of Registered Nursing accepts 35 AMA PRA Category 1 Credits (report up to 35 hours of credit and list "CME Category 1" as the provider number). CULTURAL AND LINGUISTIC COMPETENCY This activity is in compliance with California Assembly Bill 1195 which requires continuing medical education activities with patient care components to include curriculum in the subjects of cultural and linguistic competency. Cultural competency is defined as a set of integrated attitudes, knowledge, and skills that enables health care professionals or organizations to care effectively for patients <strong>from</strong> diverse cultures, groups, and communities. Linguistic competency is defined as the ability of a physician or surgeon to provide patients who do not speak English or who have limited ability to speak English, direct communication in the patient’s primary language. Cultural and linguistic competency was incorporated into the planning of this activity. Additional resources on cultural and linguistic competency and information about AB1195 can be found on the UCSD CME website at http://cme.ucsd.edu. CME ACTIVITIES The following Workshops, Plenary Sessions and Luncheons qualify for CME Credit: TUESDAY WORKSHOPS PW1 Changing Paradigms in AKI & HW1 Fundamentals of CRRT GROUP 1 - SIMULTANEOUS WORKSHOPS WEDNESDAY GROUP 2 - SIMULTANEOUS WORKSHOPS GROUP 3 - SIMULTANEOUS WORKSHOPS OPENING SESSION I: PATIENT CHARACTERISTICS Nursing Forum Luncheon THURSDAY GROUP 4 - SIMULTANEOUS WORKSHOPS SESSION II: EMERGING CONCEPTS IN AKI & CRITICAL CARE Nursing Forum Luncheon 2 and "Late Breaking Trials" Luncheon FRIDAY SESSION III: TECHNIQUE CHARACTERISTICS SESSION IV: FUTURE TRENDS IN CRRT AND CRITICAL CARE WORKSHOPS HW3: Pediatric Hands-On Workshop, HW4: Hemodynamic Monitoring and Use of Drugs HW5: Essentials for Developing, Nurturing and Growing a CRRT Program HW6: Introduction to Critical Care Ultrasonography 2
Page 4 and 5: FACULTY DISCLOSURES CRRT 2012 Facul
Page 6 and 7: CRRT 2012 ORGANIZING COMMITTEE USA
Page 8 and 9: CRRT 2012 FACULTY Patrick Honoré,
Page 10 and 11: ACKNOWLEDGEMENTS CRRT 2012 ACKNOWLE
Page 12 and 13: PLENARY SESSIONS CRRT 2012 PROGRAM/
Page 18 and 19: WORKSHOPS CRRT 2012 PROGRAM/INDEX T
Page 20 and 21: WORKSHOPS CRRT 2012 PROGRAM/INDEX W
Page 22 and 23: POSTER ABSTRACTS C
Page 24 and 25: POSTER ABSTRACTS C
Page 26 and 27: NURSING FORUM LUNCHEON Communicatio
Page 28 and 29: Nutritional Support in ICU Patients
Page 30 and 31: Educational Objectives: The Endothe
Page 32 and 33: SPECIAL LECTURE Engineering Critica
Page 34 and 35: Nishimura R, Ornato JP, Page RL, Ri
Page 36 and 37: Do Vasoactive Drugs and Fluids Impr
Page 38 and 39: Blood Transfusions are Important fo
Page 40 and 41: Thinking Outside of the Box: A Nove
Page 42 and 43: Nursing Forum 2 Luncheon Benchmarki
Page 44 and 45: 4. Mori K, Lee HT, Rapoport D, Drex
Page 46 and 47: Differential Diagnosis of AKI: Can
Page 48 and 49: Myocardial Stunning and Brain Edema
Page 50 and 51: 4. Udy A, Roberts JA, Lipman J. Wha
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CRRT and ECMO: Techniques and Outco
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Management of Severe Heart Failure:
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Avoiding Anticoagulation for CRRT:
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Improving Outcomes from</st
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The Changing Face of AKI: Snapshots
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Alkaline Phosphatase Peter Pickkers
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creatinine (Cr) was measured using
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Surveillance and Early Recognition
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therapy admitted to general intensi
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A01 Assessing the Microcirculation
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A01 Assessing the Microcirculation
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C03 Critical Care Pharmacology: Vas
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D04 Biomarkers 1: Principles and Ap
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6. Ferguson JW, Dover AR, Chia S, C
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G07 Fluids and Solutions in the Cri
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A09 Vascular Access /Membrane and C
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A09 Vascular Access /Membrane and C
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C11 Critical Care Management: Nutri
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D12 Biomarkers 2: Application in AK
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Educational Objectives: E13 Liver a
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G15 Fluids and Solutions in the Cri
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Educational Objectives: 1) Discuss
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B18 Fluid Management Ravindra L. Me
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C19 Acid Base and Electrolyte Probl
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D20 Extracorporeal Techniques for S
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the mediatordelivery hypothesis. In
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F22 Ensuring Patient Safety and Qua
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H24 Patient Centered Care in the IC
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B26 Starting and Stopping RRT for A
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C27 Acid Base and Electrolyte Probl
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D28 Extracorporeal Techniques for S
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E29 Heart Failure and Cardio-Renal
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F30 Ensuring Patient Safety and Qua
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H32 Withdrawing & Withholding Suppo
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Patel SS, Holley JL. Withholding an
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