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Pediatric CRRT The Basics

Pediatric crrt . The Basics Geoffrey Fleming Scott Sutherland Jordan Symons Michael Zappitelli 17th International crrt Conference San Diego 2012. Epidemiology Of and Indications For Pediatric crrt . Hospitalized patient Cardiac or other ER patient deteriorates surgery resuscitated ACUTE KIDNEY INJURY. HOW COMMON? WHO DOES IT. HAPPEN TO? WHO GETS IT? WHAT DO THEY GET? crrt . WHO SHOULD GET IT? Pediatric AKI: Definition Pediatric RIFLE (pRIFLE). Ackan-Arikan et al, Kidney International, 2007. Acute Kidney Injury Network Mehta et al, Crit Care Med, 2007. Pediatric AKI: Incidence in PICU. Population & Definition-dependent Cardiac Surgery N = 395 N=395. 70 90. 60 80. 70. 50. 60 AKI: 21%. 40 AKI: 34% 50. 30 40. 30. 20. 20. 10. 10. 0 0. No AKI R I F No AKI R I F. Kidney Int. 2009 Oct;76(8):885-92 Anesth Analg 2009;109:45 52. (Aprotinin study). Renal replacement therapy: 1 to 10% - crrt not very common Pediatric AKI: Incidence in PICU.

Pediatric CRRT The Basics Geoffrey Fleming Scott Sutherland Jordan Symons ... Citrate anticoagulation Vascular access ... Anticoagulation for Pediatric CRRT . Why • Access function is crucial for therapy • Flows obtained will affect adequacy of

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