• Twitter
  • Facebook
  • Vimeo
  • FCUS Courses
  • Register for FCUS Course
  • Login
Intensive Care Network
  • About Us
    • What is the ICN?
    • The ICN Story
  • Events
  • Podcast Series
    • ICN Activities
      • ICN Hot cases
      • Semantic sMatter
      • ECG Proving Ground
      • Echo Cases
      • SMACC 2013
      • ICU Radiology Cases
      • Game Changing Evidence
  • Regional Networks
    • SIN
    • BIN
  • Exams
    • Primary ANZCA
      • Pharmacology
      • Physiology
    • Primary ACEM
      • Pharmacology
      • Physiology
      • Pathology
      • Anatomy
    • Fellowship CICM
      • Notes
      • Past Papers
    • Fellowship Paeds
      • Approaches to Questions
      • Clinical Exam
      • Core ICU
      • Clinical Governance
      • Medicine
      • Surgery
    • Fellowship ANZCA
      • Notes
      • Past Papers with Answers
  • Resources
    • Links
    • The ICN meta feed
    • Reviews
      • Courses
      • Conferences
      • Websites & Blogs
      • Books & Journals
    • Clinical Resources
      • Clinical Calculators
    • Non-clinical resources
      • Research
  • Discussion Forum
    • Main Page

Continuous Renal Replacement Therapy CRRT – Part 1

Home Continuous Renal Replacement Therapy CRRT – Part 1

Continuous Renal Replacement Therapy (CRRT) – Part 1

By Celia Bradford  

Acute kidney injuries are a significant cause of morbidity and mortality in the ICU setting. 5-6% of patients progress to needing continuous renal replacement therapy which has an associated 80% mortality rate.

One of the biggest issues with CRRT is deciding on when to commence CRRT. One tool to assist with determining the severity of an AKI and therefore the decision to dialyse is the RIFLE classification. The RIFLE classification for defining AKI and is a system devised by nephrologists and intensivist in 2002. It stands for Risk, Injury, Failure, Loss of kidney function and End-stage kidney disease. Progression down the criteria is associated with increased length of stay in ICU and hospital, increased mortality and lower renal recovery.

This presentation is the first in a series of 4 about CRRT. Dr Celia Bradford (@celiabradford) provides and excellent, easy to follow introduction to using CRRT in the ICU setting. This short presentation offers excellent insight into the basics of physiology, vascular access, indications, pharmacology, dose and prescription of dialysis.

As the name suggests, CRRT is essentially a means of replacing the lost function of kidneys in the setting of an acute kidney injury. It is a means of waste management and fluid management in acutely unwell patients. In this presentation, Dr Bradford outlines the principles CRRT including circuit structure, haemofiltration and haemodialysis. She describes the possible variations in setting up the CRRT and how these affect dialysis. She also outlines the different sites for vascular access as per the KDIGO guidelines including pros and cons for each site before briefly outlining indications, adverse effects, dosage and prescription of dialysis.

Stay tuned for the next 3 presentations on CRRT…

Part 2

Part 3

Part 4

 

Share this
Fibreoptic IntubationECMO in NZ by McGuinness
IPSN – Intensivist Parent Support Network WIN – Women in Intensive Care Network ICN UK ICN NZ ICN WA ICN VIC ICN NSW ICN QLD The ICN Story The Team Jellybean Podcasts ICN Blog SMACC Video SMACC Audio Video ECG Simulator by aclsmedicaltraining BASIC SCIENCE CLINIC Simulation Game Changing Evidence ICU Radiology Echo Guide ECHO Cases Clinical Cases EXAMHELP Jellybean Podcasts ICN Blog SMACC Video SMACC Audio Video CICM Fellowship ANZCA FELLOWSHIP PAEDS FELLOWSHIP EMERGENCY PRIMARY ANAESTHETICS PRIMARY End-o-bed-o-gram

  • About
    •  What is ICN
    •  The Team
    •  ICN NSW
    •  ICN QLD
    •  ICN VIC
    •  ICN WA
    •  ICN NZ
    •  ICN UK
  • Resources
    •  Lung US
    •  Exam Help
    •  Clinical Cases
    •  Echo Cases
    •  Echo Guide
    •  ICU Radiology
    •  Game Changing Evidence
    •  ICN Metafeed
    •  Simulation Resouces
  • Media
    •  SMACC Posters
    •  Audio
    •  Video
    •  Pecha Kuchas
  • Upskill
    •  Clinical Cases
    •  Echo Cases
    •  ICU Radiology
  • Exam Help
    •  End-o-Bed-o-Gram
    •  ICU Primary Exam
    •  CICM Fellowship
    •  ANZCA Fellowship
    •  Paeds Fellowship
    •  Emergency Primary
    •  Anaesthetics Primary

® 2023 The Intensive Care Network || All rights reserved || Disclaimer || Site Map || Contact ICN Support

Log in with your credentials

or     Create an account

Lost your password?

Forgot your details?

I remember my details

Create Account