Hospital Medicine

Acute kidney injury

Questions discussed in this category

Do you recommend automatically starting CRRT anticoagulation when initiating CRRT if there are no medical contraindications to anticoagulation?

2 Answers available

How long do you wait before arranging AVF placement in patients with AKI who remain dialysis dependent?

2 Answers available

How frequently do you check serum electrolytes for patients on CRRT?

1 Answer available

Is there a serum ammonium level for which you recommend initiation of dialysis in a patient with hepatic encephalopathy?

2 Answers available

Do you recommend any CRRT prescription changes for optimal clearance for patients with AKI who are on a reduced blood flow rate due to concurrent regional citrate anticoagulation?

2 Answers available

What is your preferred intravenous fluid type for matching volume loss in a patient with persistent surgical drain output and pre-renal acute kidney injury?

1 Answer available

Would you recommend administering IV amino acids prior to cardiac surgery with cardiopulmonary bypass, given recent trial findings of improved AKI rates but no significant difference in kidney-replacement therapy with IV amino acids?

Landoni et al., PMID 38865168

1 Answer available

Have you considered priming CRRT machines with renal replacement solutions during the current crystalloid solution shortage?

2 Answers available

What is your blood pressure or mean arterial pressure goal in a critically ill patient with acute kidney injury?

1 Answer available

Do you avoid performing urine microscopy in patients with AKI who have COVID-19 given concern for potential aerosolization?

2 Answers available

In which clinical scenarios do you use prolonged intermittent renal replacement therapy (PIRRT)?

2 Answers available

Do you avoid terlipressin for patients with hepatorenal syndrome who have a serum sodium level less than 125 mEq/L?

2 Answers available

Do you use terlipressin for patients with hepatorenal syndrome who also have elevated blood pressures?

1 Answer available

Do you use a phosphate binder to manage inpatient hyperphosphatemia in patients with AKI who have no history of CKD?

5 Answers available

Would you recommend a TIPS procedure in the management of hepatorenal syndrome for a patient with no history of hepatic encephalopathy?

1 Answer available

What is your approach to anticoagulation in a patient with AKI and cirrhosis who has frequent filter clotting on CRRT?

2 Answers available

Do you start patients on a B complex multivitamin if they are on CRRT and have not previous been on renal replacement therapy?

1 Answer available

How do you approach the decision to use terlipressin in a patient with hepatorenal syndrome type 1, AKI, and a history of heart failure given its potential cardiovascular effects?

1 Answer available

For patients on CRRT with worsening hyperkalemia despite high replacement fluid rate using a 0 mEq/L potassium bath, do recommend using an additional CRRT machine with separate dialysis access for improved clearance?

3 Answers available

What is your approach to monitoring for recovery in a patient with non-oliguric AKI requiring dialysis?

4 Answers available

Is there benefit to performing CVVH instead of intermittent hemodialysis for a patient with AKI secondary to rhabdomyolysis who requires renal replacement therapy?

1 Answer available

In patients with intrinsic acute kidney injury of unknown etiology and with pending kidney biopsy results, are there instances when you would recommend a trial of glucocorticoids?

1 Answer available

What is your approach to achieving hypernatremia in a patient on CRRT for whom increasing the rate of a post-filter 3% sodium chloride infusion is insufficient?

2 Answers available

Are there instances when you use erythropoietin stimulating agents in patients with acute kidney injury requiring dialysis?

2 Answers available

Would you perform dialysis on a patient with altered mental status in the setting of an elevated blood urea nitrogen level attributed to a tube feeding diet?

1 Answer available

Do you hold CRRT for a period of time before performing a diuretic challenge in a patient with whom you are assessing for the ability to wean off of continuous dialysis?

2 Answers available

Papers discussed in this category

Critical care medicine, 2009-09

Discontinuation of continuous renal replacement therapy: a post hoc analysis of a prospective multicenter observational study.

Journal of critical care, 2019-08

The furosemide stress test for prediction of worsening acute kidney injury in critically ill patients: A multicenter, prospective, observational study.

BMC nephrology, 2022 Mar 13

Erythropoietin in Acute Kidney Injury (EAKI): a pragmatic randomized clinical trial.

Current opinion in critical care, 2021 Aug 01

Nutrients and micronutrients at risk during renal replacement therapy: a scoping review.

Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis, 2023 Jan-Dec

Regional Citrate Anticoagulation or Heparin Anticoagulation for Renal Replacement Therapy in Patients With Liver Failure: A Systematic Review and Meta-Analysis.

The New England journal of medicine, 2021 Mar 04

Terlipressin plus Albumin for the Treatment of Type 1 Hepatorenal Syndrome.

American journal of infection control, 2020 Jun 02

Cautious handling of urine from moderate to severe COVID-19 patients.

Osong public health and research perspectives, 2020 Feb

Identification of Coronavirus Isolated from a Patient in Korea with COVID-19.

The New England journal of medicine, 2024 Jun 12

A Randomized Trial of Intravenous Amino Acids for Kidney Protection.

The New England journal of medicine, 2003 Oct 02

The prevention of radiocontrast-agent-induced nephropathy by hemofiltration.

Clinical journal of the American Society of Nephrology : CJASN, 2023 Oct 17

How We Treat Hyperammonemia in Acute Liver Failure.

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