#crrt — Public Fediverse posts

🫘Optimal time to stop continuous renal replacement therapy in children? Decision based on anticipated pathophysiology, underlying diagnoses, fluid balance & recovery of residual renal function (with increasing UO easily available sign, to date). Less CRRT may be more, but right time to cease still open question.
🔓https://rdcu.be/dKiC7

🫘 Refers to analysis on #CRRT in critically ill children & young adults.
#PedsICU #FOAMcc on @ICM
🔓 https://rdcu.be/dAs4w

Liberation from CRRT in critically ill children and young adults, analysis of the worldwide exploration of renal replacement outcomes collaborative in Kidney Disease Registry:
🔍 over 600 pts aged 0-25 years treated with #CRRT for #AKI or fluid balance disorders
💦 inability to liberate from CRRT common
🫘 several factors associated with successful liberation, including higher VIS & higher PELOD-2 score at CRRT initiation, higher UO prior to CRRT and shorter CRRT duration
🔓 https://rdcu.be/dAs4w

@jopo_dr dialytrauma occurs even with #CRRT but maybe not to the degree of iHD. IHD= planned “controlled” repetitive hypovolemic shock

Integrating cytokine adsorber post-dialyzer into #CRRT circuit in critically ill patients with liver failure, data from Cyto-SOLVE study showed decreased ammonia plasma-concentration but
🟤 no evidence for relevant ammonia-clearance by Cytosorb®
🟤 elimination mainly achieved by dialyzer (constant clearance over time depending on blood flow & effluent rate)
@ICM
🖇️ https://rdcu.be/c5scg

#CRRT practices in #WeRock in pediatrics https://link.springer.com/article/10.1007/s00467-022-05864-z.

At first, I found it hard to get my head around citrate anticoagulation for CRRT. I built a module to help others understand what I learned

https://osler.app.link/PduAGD12Hvb

Hope you find it helpful too

#medmastodon #medtwitter #CRRT #criticalcare #intensivecare #intensivecarenurse #intensivecaremedicine #intensivist #ICU #ICUnurse #renal #dialysis #citrate

#introduction to my new #MedMastodon server: I’m a critical care nephrologist, outcomes researcher and #extracorporeal therapies expert but in KIDS 🙃 🦄 😍
#sepsis #fluids #AKI #CriticalCareNephrology #CRRT #ECMO #PedsICU @PPETS