20. AKI & CRRT with Dr Kevin Chung

In this episode of Critical Care Time, co-hosts Dr. Cyrus Askin and Dr. Nick Mark are joined by Dr. Kevin Chung to discuss continuous renal replacement therapy (CRRT). The discussion covers the different staging criteria for acute kidney injury (AKI), the various causes of AKI, and the nuances of contrast-induced nephropathy. Dr. Chung details the different types of CRRT, including SCUF, CVVH, and CVVHD, explaining the mechanics of diffusive and convective clearance. The panel explores the controversies surrounding the timing of CRRT initiation, the importance of anticoagulation, and the financial implications of CRRT programs. Finally, they discuss emerging blood purification technologies and their potential to improve patient outcomes in critical care settings.

Outlines

Part 1: Introduction to CRRT

Part 2: AKI Management

Part 3: Advanced Technologies & Conclusion

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Critical Care Time

Part 1: Introduction to CRRT

Introduction to CRRT and Dr. Kevin Chung's Background

Models of CRRT Management and the Intensivist's Role

Approaching Acute Kidney Injury (AKI)

Part 2: AKI Management

Contrast-Induced Nephropathy and Diuretic Strategies

Introduction to CRRT Modalities: SCUF, CVVH, and CVVHD

Convective vs. Diffusive Clearance and CRRT Dosing

Individualizing CRRT Dosing and Comparing Continuous vs. Intermittent Therapies

Timing of CRRT Initiation and Anticoagulation Strategies

Cost-Effectiveness of CRRT and Timing of CRRT Cessation

Part 3: Advanced Technologies & Conclusion

Blood Purification Technologies and Cytokine Removal

Summary, Thanks, and Disclaimers

20. AKI & CRRT with Dr Kevin Chung

Critical Care Time

Part 1: Introduction to CRRT

01:03Introduction to CRRT and Dr. Kevin Chung's Background

Introduction to CRRT and Dr. Kevin Chung's Background

07:32Models of CRRT Management and the Intensivist's Role

Models of CRRT Management and the Intensivist's Role

15:54Approaching Acute Kidney Injury (AKI)

Approaching Acute Kidney Injury (AKI)

Part 2: AKI Management

24:09Contrast-Induced Nephropathy and Diuretic Strategies

Contrast-Induced Nephropathy and Diuretic Strategies

33:41Introduction to CRRT Modalities: SCUF, CVVH, and CVVHD

Introduction to CRRT Modalities: SCUF, CVVH, and CVVHD

45:50Convective vs. Diffusive Clearance and CRRT Dosing

Convective vs. Diffusive Clearance and CRRT Dosing

57:26Individualizing CRRT Dosing and Comparing Continuous vs. Intermittent Therapies

Individualizing CRRT Dosing and Comparing Continuous vs. Intermittent Therapies

1:07:13Timing of CRRT Initiation and Anticoagulation Strategies

Timing of CRRT Initiation and Anticoagulation Strategies

1:17:50Cost-Effectiveness of CRRT and Timing of CRRT Cessation

Cost-Effectiveness of CRRT and Timing of CRRT Cessation

Part 3: Advanced Technologies & Conclusion

1:25:15Blood Purification Technologies and Cytokine Removal

Blood Purification Technologies and Cytokine Removal

1:34:53Summary, Thanks, and Disclaimers

Summary, Thanks, and Disclaimers