Journal Review in Surgical Critical Care: Renal Dysfunction in the Intensive Care Unit

Behind The Knife: The Surgery Podcast

Science, Health & Fitness, Medicine, Education

4.8 • 1.4K Ratings

🗓️ 19 July 2021

⏱️ 32 minutes

🔗️ Recording | iTunes | RSS

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Summary

Episode Description

The timing of renal replacement therapy remains controversial and may be influenced by local resources, availability and institutional practices. In this episode from the Surgical Critical Care team at Behind the Knife, we provide a brief overview, introduce a clinical scenario and discuss two contemporary articles on the timing of initiation.

Learning Objectives:
In this episode, we review the indications for renal replacement therapy, the different modalities of continuous replacement therapy, and discuss two randomized control trials that may help us answer the question of dialysis initiation.

Hosts:
Brittany Bankhead-Kendall, MD, MS (@BBankheadMD) is an Assistant Professor of Surgery at Texas Tech University Health Sciences Center.

Ryan Dumas, MD, FACS (@PMH_Trauma_RPD) is an Assistant Professor at the University of Southwestern Medical Center and Parkland Memorial Hospital.

Caroline Park, MD, MPH, FACS (@CPark_MD) is an Assistant Professor at the University of Southwestern Medical Center and Parkland Memorial Hospital.

Links to Papers Referenced in this Episode:
Timing of Renal-Replacement Therapy in Patients with Acute Kidney Injury and Sepsis. N Engl J Med. 2018 Oct 11;379(15):1431-1442. doi: 10.1056/NEJMoa1803213.
https://pubmed.ncbi.nlm.nih.gov/30304656/

Timing of Initiation of Renal-Replacement Therapy in Acute Kidney Injury. N Engl J Med. 2020 Jul 16;383(3):240-251. doi: 10.1056/NEJMoa2000741.
https://pubmed.ncbi.nlm.nih.gov/32668114/

Transcript

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0:29.2	will.
0:30.2	Behind the knife, the surgery podcast, where we take a behind the scenes intimate look at
0:35.4	surgery from leaders in the field.
0:51.4	Hi, and welcome to behind the knife's critical care session as we tackle a renal dysfunction
0:55.8	in the surgical ICU.
0:56.8	We've got Brittany Vankeld Kendall, Ryan Duma, and I'm Caroline Park.
1:01.1	Our team is going to discuss the ins and outs in the implications of dialysis therapy in
1:05.6	the ICU.
1:06.6	So, this is the overall topic, renal dysfunction, and we'll cover a couple of reasons why this
1:12.6	episode is important and relevant for you all.
1:15.1	Thanks for that introduction, Caroline.
1:17.1	So, really, the goal in the next 25 to 30 minutes is to discuss renal replacement there
1:21.9	being ICU.
1:22.9	Now, that sounds very daunting, and it's certainly something that entire class can be discussed
1:29.4	and topic that is really quite expansive, but we're going to talk about venous modalities
1:34.9	in CRRT.
	...

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