A09 Vascular Access /Membrane and Circuit Educati<strong>on</strong>al Objectives: identify opti<strong>on</strong>s of access review complicati<strong>on</strong>s of percutaneous catheter placement discuss functi<strong>on</strong>al shortcomings of various formats Emil P. Paganini MD, FACP, FRCP 8:15-9:45 Wednesday, February 15 83
B10 Dialysis Dose Prescripti<strong>on</strong> and Delivery Educati<strong>on</strong>al Objectives: 1. Discuss the importance of measuring delivered dose of dialysis. 2. To review the different methods to assess dialysis dose in AKI. Rolando Claure MD 8:15-9:45 Wednesday, February 15 3. Discuss and identify the gaps in current practice and propose an approach ensure delivering a prescribed dose. C<strong>on</strong>tent Descripti<strong>on</strong>: Assessing and delivering dialysis dose in acute kidney injury (AKI) has emerged as an important issue in the management of critically ill patients. There is <strong>on</strong>going debate <strong>on</strong> how dose of dialysis should be expressed and measured. Most studies have focused <strong>on</strong> clearance of small molecules (blood urea nitrogen) as a marker of delivered dose and for establishing dose–outcome relati<strong>on</strong>ships. Recent evidence has shown that other markers may also be important to c<strong>on</strong>sider, as acid–base balance and fluid overload have emerged as important factors c<strong>on</strong>tributing to outcomes. In this workshop, we will provide an evaluati<strong>on</strong> of current approaches to prescribing and delivering dialysis dose in AKI, identify gaps in practice and propose an integrated approach to optimize dose delivery in dialysis with a goal to improve outcomes. Suggested Reading: 1. Overberger P, Pesacreta M, Palevsky PM: Management of renal replacement therapy in acute kidney injury: a survey of practiti<strong>on</strong>er prescribing practices. Clin J Am Soc Nephrol 2:623–630, 2007. 2. Marshall MR: Current status of dosing and quantificati<strong>on</strong> of acute renal replacement therapy. Part 1: mechanisms and c<strong>on</strong>sequences of therapy under-delivery. Nephrology (Carlt<strong>on</strong>) 11:171–180, 2006. 3. Davenport A, Bouman C, Kirpalani A, Skippen P, Tolwani A, Mehta RL, Palevsky PM: Delivery of renal replacement therapy in acute kidney injury: what are the key issues? Clin J AmSocNephrol 3:869–875, 2008. 4. Davenport A, Farringt<strong>on</strong> K: Dialysis dose in acute kidney injury and chr<strong>on</strong>ic dialysis. Lancet 375:705–706, 2010. 5. Gillespie RS, Seidel K, Sym<strong>on</strong>s JM: Effect of fluid overload and dose of replacement fluid <strong>on</strong> survival in hemofiltrati<strong>on</strong>. Pediatr Nephrol 19:1394-1399, 2004. 6. Bouchard J, Soroko SB, Chertow GM, Himmelfarb J, Ikizler TA, Paganini EP, Mehta RL; Program to Improve Care in Acute Renal Disease (PICARD) Study Group: Fluid accumulati<strong>on</strong>, survival and recovery of kidney functi<strong>on</strong> in critically ill patients with acute kidney injury. Kidney Int 76:422–427, 2009. 7. Gotch FA: IsKt ⁄ V urea a satisfactory measure for dosing the newer dialysis regimens? Semin Dial 14:15–17, 2001. 8. Diaz-Buxo JA, Loredo JP: Standard Kt ⁄ V: comparis<strong>on</strong> of calculati<strong>on</strong> methods. Artif Organs 30:178–185, 2006. 9. Claure-Del Granado R, Macedo E, Chertow G et al. Effluent volume in c<strong>on</strong>tinuous renal replacement therapy overestimates the delivered dose of dialysis. Clin J Am Soc Nephrol 6: 467–475, 2011. 10. Claure-Del Granado R and Mehta RL. Assessing and delivering dialysis dose. Semin Dial 24:208-14, 2011. 84
- Page 2 and 3:
CRRT 2012 SEVENTEENTH INTERNATIONAL
- 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 14 and 15:
PLENARY SESSIONS CRRT 2012 PROGRAM/
- Page 16 and 17:
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
- Page 52 and 53: CRRT and ECMO: Techniques and Outco
- Page 54 and 55: Management of Severe Heart Failure:
- Page 56 and 57: Avoiding Anticoagulation for CRRT:
- Page 58 and 59: Improving Outcomes from</st
- Page 60 and 61: The Changing Face of AKI: Snapshots
- Page 62 and 63: Alkaline Phosphatase Peter Pickkers
- Page 64 and 65: creatinine (Cr) was measured using
- Page 66 and 67: Surveillance and Early Recognition
- Page 68 and 69: therapy admitted to general intensi
- Page 70 and 71: A01 Assessing the Microcirculation
- Page 72 and 73: A01 Assessing the Microcirculation
- Page 74 and 75: C03 Critical Care Pharmacology: Vas
- Page 76 and 77: D04 Biomarkers 1: Principles and Ap
- Page 78 and 79: 6. Ferguson JW, Dover AR, Chia S, C
- Page 80 and 81: G07 Fluids and Solutions in the Cri
- Page 82 and 83: A09 Vascular Access /Membrane and C
- Page 86 and 87: C11 Critical Care Management: Nutri
- Page 88 and 89: D12 Biomarkers 2: Application in AK
- Page 90 and 91: Educational Objectives: E13 Liver a
- Page 92 and 93: G15 Fluids and Solutions in the Cri
- Page 94 and 95: Educational Objectives: 1) Discuss
- Page 96 and 97: B18 Fluid Management Ravindra L. Me
- Page 98 and 99: C19 Acid Base and Electrolyte Probl
- Page 100 and 101: D20 Extracorporeal Techniques for S
- Page 102 and 103: the mediatordelivery hypothesis. In
- Page 104 and 105: F22 Ensuring Patient Safety and Qua
- Page 106 and 107: H24 Patient Centered Care in the IC
- Page 108 and 109: B26 Starting and Stopping RRT for A
- Page 110 and 111: C27 Acid Base and Electrolyte Probl
- Page 112 and 113: D28 Extracorporeal Techniques for S
- Page 114 and 115: E29 Heart Failure and Cardio-Renal
- Page 116 and 117: F30 Ensuring Patient Safety and Qua
- Page 118 and 119: H32 Withdrawing & Withholding Suppo
- Page 120 and 121: Patel SS, Holley JL. Withholding an
- Page 122 and 123: ABSTRACTS FROM 17
- Page 124 and 125: ABSTRACTS FROM 17
- Page 126 and 127: ABSTRACTS FROM 17
- Page 128 and 129: ABSTRACTS FROM 17
- Page 130 and 131: ABSTRACTS FROM 17
- Page 132 and 133: ABSTRACTS FROM 17
- Page 134 and 135:
ABSTRACTS FROM 17
- Page 136 and 137:
ABSTRACTS FROM 17
- Page 138 and 139:
ABSTRACTS FROM 17
- Page 140 and 141:
ABSTRACTS FROM 17
- Page 142 and 143:
ABSTRACTS FROM 17
- Page 144 and 145:
ABSTRACTS FROM 17
- Page 146 and 147:
ABSTRACTS FROM 17
- Page 148 and 149:
ABSTRACTS FROM 17
- Page 150 and 151:
ABSTRACTS FROM 17
- Page 152 and 153:
ABSTRACTS FROM 17
- Page 154 and 155:
ABSTRACTS FROM 17
- Page 156 and 157:
ABSTRACTS FROM 17
- Page 158 and 159:
ABSTRACTS FROM 17
- Page 160 and 161:
ABSTRACTS FROM 17
- Page 162 and 163:
ABSTRACTS FROM 17
- Page 164 and 165:
ABSTRACTS FROM 17
- Page 166 and 167:
ABSTRACTS FROM 17
- Page 168 and 169:
ABSTRACTS FROM 17
- Page 170 and 171:
ABSTRACTS FROM 17
- Page 172 and 173:
ABSTRACTS FROM 17
- Page 174 and 175:
ABSTRACTS FROM 17
- Page 176 and 177:
ABSTRACTS FROM 17
- Page 178 and 179:
ABSTRACTS FROM 17
- Page 180 and 181:
ABSTRACTS FROM 17
- Page 182 and 183:
ABSTRACTS FROM 17
- Page 184 and 185:
ABSTRACTS FROM 17
- Page 186 and 187:
ABSTRACTS FROM 17
- Page 188 and 189:
ABSTRACTS FROM 17
- Page 190 and 191:
ABSTRACTS FROM 17
- Page 192 and 193:
ABSTRACTS FROM 17
- Page 194 and 195:
ABSTRACTS FROM 17