SCCM Pod-534: AKI: Clinical Evidence to Optimize Patient Outcomes

In this Society of Critical Care Medicine podcast, host Maureen Madden interviews Dr. Jay Koyner and Dr. Ron Wald about acute kidney injury (AKI) and optimizing patient outcomes with renal replacement therapy (RRT). They discuss their recent publications, which explore the impact of continuous renal replacement therapy (CRRT) versus intermittent hemodialysis (IHD) on dialysis dependence and renal recovery in critically ill AKI survivors. While both studies acknowledge limitations due to their observational nature, they suggest CRRT may be associated with a lower risk of dialysis dependence compared to IHD, though it may not significantly impact mortality. The discussion also covers the importance of considering the strain on other organs and the potential benefits of CRRT in fluid removal, especially in hemodynamically unstable patients.