Showing posts with label NKF2011. Show all posts
Showing posts with label NKF2011. Show all posts

Wednesday, May 4, 2011

NKF 2011 Live: First Clinical Guidelines on Acute Kidney Injury Issued

This is a summery of one of the talks at The NKF meeting ; MEdscape nephrology conducted an interview with Dr. Kellum who co-chaired the KDIGO initiative.

Go to the link above for the full interview: here are some points of the talk

RIFLE and AKIN should be used by frontline practitioners to diagnose AKI, and this should serve to increase awareness about the prevention, recognition, and management of acute kidney injury.

Up to 33% of ICU patients and as many as 20% of all hospitalized patients develop acute kidney injury. even mild injury, resulting in small changes in renal function acutely, can have significant short-term and long-term consequences.

Replacement fluid should be crystolloids and colloids(avoid albumin, hetastarch and alike).

CIN prophylaxis: Normal saline or bicarbonate are both of equally effective with no preference.

Citracate bath and US-guided catheter insertion were strongly recommended. this maybe controversial the committee admitted.

More in the full interview.

http://www.medscape.com/viewarticle/741856?src=mp&spon=44
Ezra Hazzan MD

Wednesday, April 27, 2011

NKF 2011 Live Blogging: Integrating the treatment of secondary hyperparathyroidism in ESRD

Integrating the treatment of secondary hyperparathyroidism in ESRD 
Speaker Dr. Malluche 
Blogger: Dr.Azzour Hazzan

Some points from the lecture:1.There are 5 different pth assays assays
2. Have different specificity and sensitivity but the trend is telling and should be trusted. 
3.Further using ratio of cap and cip may help (cap is the activating protein within the pth peptide)
4. Using pth you can only screen for high turn over, not diagnose it.
5. Bone volume is also important. 
6. Dexa is unreliable and in some cases can give falsely high readings( especially vertebral bones). The hip readings are good
7. Higher bone volume correlates  with less calcification in the coronary arteries  and vice versa. And that is true with any age. 
8. More low turn over with whites along with low volumes 
9. More porosis with blacks and high turn over 

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