Detection and Management of Acute Kidney Injury in the ICU

Date: Thursday, February 17, 2022 & Thursday, March 03, 2022

Time: 02:00 PM Eastern Standard Time

Duration: 1 hour

Acute kidney injury (AKI) is a common complication in critically ill patients and is associated with high morbidity and mortality. AKI is often multifactorial, asymptomatic and difficult to predict. This webinar provides a review of the etiologies of AKI and a systematic approach toward its diagnosis and management with emphasis on fluid volume assessment and management. The use of point-of-care (POC) biomarkers have provided additional tools to detect patients at high risk of AKI and improve their outcomes. We will review protocols that integrate the use of POC biomarkers into a multidisciplinary clinical response team to potentially reduce AKI development, severity and the number of patients who need dialysis.

Whether in the ICU or other hospital wards, AKI represents a complex disorder that requires frequent monitoring and early detection to achieve optimal outcomes.  There are many testing modalities available for the clinician to aid in AKI clinical decision making and management.  These involve following trends in blood creatinine, plasma volume status, and electrolytes including ionized magnesium. This webinar will also investigate point-of-care testing options available to clinicians that care for these patients.

Rolando Claure-Del Granado, MD, FASN
Director, AKI/CRRT Program
Hospital Obrero, Cochabamba, Bolivia

Dr. Claure-Del Granado is also Professor of Medicine, Universidad Mayor de San Simon, School of Medicine, Bolivia and Member at Large, International Society of Nephrology Executive Committee

Dennis Begos, MD, FACS, FACRS
Medical Director, Medical and Scientific Affairs
Nova Biomedical

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Recognition and Management of Community-Acquired Acute Kidney Injury in Low-Resource Settings

Date: Thursday, December 02, 2021

Time: 01:00 PM Eastern Standard Time

Dr. Ravindra Mehta, an internationally recognized nephrologist, will discuss a multi-country, International Society of Nephrology (ISN) sponsored study demonstrating that a comprehensive program of point-of-care creatinine/eGFR testing, urine dipstick testing, and protocolized care management can improve the recognition of AKI in low-resource settings, improve clinical outcomes, and reduce the overall costs of treating kidney disease. Dr. Mehta was the lead author and investigator of the study.

Dr. Begos will highlight the utility and accuracy of Nova StatSensor Creatinine/eGFR for kidney function screening in multiple settings.Speakers

Dr. Ravindra Mehta, MD
Professor of Medicine, Division of Nephrology
UCSD Department of Medicine

Dennis Begos, MD, FACS, FACRS
Medical Director, Medical and Scientific Affairs
Nova Biomedical

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Lesión renal aguda adquirida en un centro sanitario comunitario: estudio piloto 0by25

La lesión renal aguda (LRA) es cada vez más presente en instalaciones sanitarias comunitarias y contribuye en todo el mundo a la morbilidad, la mortalidad y a una mayor utilización de recursos. En instalaciones con pocos recursos, la falta de conocimiento y el acceso limitado a las intervenciones de diagnóstico y terapéuticas probablemente influyan en la gestión del paciente. Este seminario online considera la viabilidad del uso de pruebas de orina y creatinina por punción digital en el punto de atención (POC), junto con un programa de educación y capacitación para optimizar la identificación y el manejo de la LRA en centros sanitarios comunitarios de 3 países con recursos limitados y pacientes de atención primaria de alto riesgo.

Objetivos de aprendizaje

• Evaluar la viabilidad de implementar intervenciones para optimizar el tratamiento de la lesión renal aguda (LRA).
• Comprender el enfoque de las 5R (Riesgo, Reconocimiento, Respuesta, Apoyo Renal y Rehabilitación) para probar una intervención en regiones con recursos limitados en África, Asia y América Latina.
• Reconocer el nivel de riesgo de LRA basado en la presentación de signos y síntomas de los pacientes en los centros sanitarios comunitarios.
• Identificar métodos para evaluar la función renal mediante pruebas en el punto de atención (POC).

Rolando Claure-Del Granado, MD, FASN Jefe de Division de Nefrologia Hospital Obrero #2 – Caja Nacional de Salud Catedrático de Medicina Universidad Mayor de San Simón, Facultad de Medicina Cochabamba – Bolivia

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