Acute Kidney Injury Part VI: Long term outcome
Summary
AKI is associated with an increased risk of cardiovascular mortality, congestive heart failure, acute myocardial infarction, infections and stroke. The relative risk is higher for patients with lower baseline eGFR, and decreases over time. Patients without recovery of kidney function have a worse survival compared to patients who had partial or complete recovery. Worse long-term patient outcomes are incompletely understood but may be explained by increased risk for chronic kidney disease, cardiovascular events, stroke, sepsis, tuberculosis, gastrointestinal bleeding, malignancy and bone fractures
General Information
Enrolled trainees 669
Open 11.11.2022
Available for ESICM members
Student effort 3
Last Updated November 11, 2022
Intended Learning Outcomes
After studying this module on Acute Kidney Injury Part IV: Long term outcome you should be able to:
- Recognise long term effects of AKI including increased risk of death, cardiovascular events and major adverse kidney events.
- Plan for follow up and recognise patients at high risk for worse outcomes following AKI.
Relevant competencies in CoBaTrICE
- 1.3 Manages the patient post-resuscitation
- 2.9 Monitors and responds to trends in physiological variables.
- 3.1 Manages the care of the critically ill patient with specific acute medical conditions.
- 3.3 Recognises and manages the patient with circulatory failure.
- 3.4 Recognises and manages the patient with, or at risk of, acute renal failure.
- 4.7 Initiates, manages and weans patients from renal replacement therapy.
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
Acute Kidney Injury Part V: Prevention and Conservative Treatment
Summary
General Information
Enrolled trainees 764
Open 11.11.2022
Available for ESICM members
Student effort 3
Last Updated November 11, 2022
Intended Learning Outcomes
After studying this module on Acute Kidney Injury Part V: Prevention and Conservative Treatment you should be able to:
- Know how to prevent acute kidney injury in clinical practice with special emphasis on the management of hemodynamics and fluid therapy.
- Understand the limitations of drugs in AKI prevention and the potential of care bundles
- Understand how to manage AKI conservatively and apply these principles in clinical practice
Relevant competencies in CoBaTrICE
- 1.1 Adopts a structured and timely approach to the recognition, assessment and stabilisation of the acutely ill patient with disordered physiology
- 1.2 Manages cardiopulmonary resuscitation
- 2.1 Obtains a history and performs an accurate clinical examination
- 2.2 Undertakes timely and appropriate investigations
- 2.6 Obtains and interprets the results from blood gas samples
- 2.9 Monitors and responds to trends in physiological variables
- 2.10 Integrates clinical findings with laboratory investigations to form a differential diagnosis
- 3.1 Manages the care of the critically ill patient with specific acute medical conditions
- 3.2 Identifies the implications of chronic and co-morbid disease in the acutely ill patient
- 3.4 Recognises and manages the patient with, or at risk of, acute renal failure
- 3.10 Recognises and manages the patient following intoxication with drugs or environmental toxins
- 4.7 Initiates, manages and weans patients from renal replacement therapy
- 4.8 Recognises and manages electrolyte, glucose and acid-base disturbances
- 7.5 Manages the safe and timely discharge of patients from the ICU
- 11.4 Identifies and minimises risk of critical incidents and adverse events, including complications of critical illness
- 11.6 Critically appraises and applies guidelines, protocols and care bundles
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
Acute Kidney Injury Part IV: Diagnostic work up
Summary
General Information
Enrolled trainees 775
Open 11.11.2022
Available for ESICM members
Student effort 1
Last Updated November 11, 2022
Intended Learning Outcomes
After studying this module on Acute Kidney Injury Part IV: Diagnostic work up you should be able to:
- Obtain a history, perform an accurate clinical examination, undertake and interpret investigations for acute kidney injury.
- Form a differential diagnosis for acute kidney injury.
Relevant competencies in CoBaTrICE
- 2.1 Obtains a history and performs an accurate clinical examination.
- 2.2 Undertakes timely and appropriate investigations.
- 2.8 Liaises with radiologists to organise and interpret clinical imaging.
- 2.9 Monitors and responds to trends in physiological variables.
- 2.10 Integrates clinical findings with laboratory investigations to form a differential diagnosis.
- 3.1 Manages the care of the critically ill patient with specific acute medical conditions.
- 3.4 Recognises and manages the patient with, or at risk of, acute renal failure.
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
Acute Kidney Injury Part I: Definition and diagnosis
Summary
Acute kidney injury (AKI) is a common complication in critical illness that is associated with important acute and long-term morbidity and mortality. Patients at risk should be closely monitored since current diagnostic criteria may result in late recognition. Biomarkers of kidney injury can assist in earlier diagnosis. Although sepsis is the predominant cause of AKI in ICU patients, AKI may have several causes that must be differentiated and promptly acted upon to prevent further deterioration of kidney function. Optimisation of hemodynamics, early appropriate antibiotic therapy and avoidance of nephrotoxic substances are the most important preventive measures. Recent evidence suggests that AKI is an important risk factor for chronic kidney disease (CKD) and end-stage renal disease (ESRD).
General Information
Enrolled trainees 1552
Open 11.11.2022
Available for ESICM members
Student effort 2
Last Updated November 11, 2022
Intended Learning Outcomes
After studying this module on Acute Kidney Injury Part I: Definition and diagnosis you should be able to:
- Diagnose patients with acute kidney injury
- Understand the limitations of using creatinine and urine output to diagnose AKI
Relevant competencies in CoBaTrICE
- 2.1 Obtains a history and performs an accurate clinical examination
- 2.2 Undertakes timely and appropriate investigations
- 3.1 Manages the care of the critically ill patient with specific acute medical conditions
- 3.4 Recognises and manages the patient with, or at risk of, acute renal failure
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
Acute Kidney Injury Part III: Pathophysiology
Summary
Similar to other organ failures encountered in ICU such as acute respiratory failure or acute heart failure, acute kidney injury (AKI) is a heterogeneous clinical syndrome with multiple causative factors, a wide variety of clinical severity and diverse outcomes. Standardization of definitions and diagnostic criteria into stages based on serum creatinine level and urine output (see ACE course on AKI diagnosis) has been crucial in advancing the field of AKI and the staging specified by these definitions has been validated in terms of their associations with the short- and long-term risk of death and end-stage renal disease.
General Information
Enrolled trainees 869
Open 11.11.2022
Available for ESICM members
Student effort 3
Last Updated November 11, 2022
Intended Learning Outcomes
After studying this module on Acute Kidney Injury Part III: Pathophysiology you should be able to:
- Describe the typical etiology of acute kidney injury in the ICU
- Understand different disease trajectories of acute kidney injury in different patient groups (sepsis, post-surgical, nephrotoxin exposure)
Relevant competencies in CoBaTrICE
- 3.2 Identifies the implications of chronic and co-morbid disease in the acutely ill patient
- 3.5 Recognition of patients with or at risk for acute kidney injury
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
Acute Kidney Injury Part II: Epidemiology
Summary
General Information
Enrolled trainees 982
Open 11.11.2022
Available for ESICM members
Student effort 3
Last Updated November 11, 2022
Intended Learning Outcomes
After studying this module on Acute Kidney Injury Part II: Epidemiology you should be able to:
- Understand the epidemiology of AKI
- Recognise the risk factors for acute kidney injury
- Distinguish between modifiable and non-modifiable risk factors
Relevant competencies in CoBaTrICE
- 2.1 Obtains a history and performs an accurate clinical examination
- 2.10 Integrates clinical findings with laboratory investigations to form a differential diagnosis
- 3.2 Identifies the implications of chronic and co-morbid disease in the acutely ill patient
- 3.5 Recognition of patients with or at risk for acute kidney injury
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
Renal Replacement Therapy Part VI
Part 6: When to stop & non-renal indications
Summary
Treatment of established AKI is largely supportive. Severe AKI will require some replacement of kidney function (renal replacement therapy or RRT). In the absence of absolute indications, the appropriate timing to start RRT remains a matter of debate. Different modalities are available that may all have specific indications. Recent studies have established the optimal location of the dialysis catheter, the appropriate dose of RRT and the optimal anticoagulant. RRT is not without complications and may have an important impact on drug pharmacology.
General Information
Enrolled trainees 1494
Open 26.12.2019
Available for ESICM members
Student effort 2
Last Updated August 9, 2022
Intended Learning Outcomes
After studying this module on Renal Replacement Therapy you should be able to:
- List the features associated with successful weaning from RRT
- Outline the non-renal indications for RRT
Relevant competencies in CoBaTrICE
- 1.1 Adopts a structured and timely approach to the recognition, assessment and stabilisation of the acutely ill patient with disordered physiology
- 1.2 Manages cardiopulmonary resuscitation
- 2.1 Obtains a history and performs an accurate clinical examination
- 2.2 Undertakes timely and appropriate investigations
- 2.6 Obtains and interprets the results from blood gas samples
- 2.9 Monitors and responds to trends in physiological variables
- 2.10 Integrates clinical findings with laboratory investigations to form a differential diagnosis
- 3.1 Manages the care of the critically ill patient with specific acute medical conditions
- 3.2 Identifies the implications of chronic and co-morbid disease in the acutely ill patient
- 3.4 Recognises and manages the patient with, or at risk of, acute renal failure
- 3.10 Recognises and manages the patient following intoxication with drugs or environmental toxins
- 4.7 Initiates, manages and weans patients from renal replacement therapy
- 4.8 Recognises and manages electrolyte, glucose and acid-base disturbances
- 7.5 Manages the safe and timely discharge of patients from the ICU
- 11.4 Identifies and minimises risk of critical incidents and adverse events, including complications of critical illness
- 11.6 Critically appraises and applies guidelines, protocols and care bundles
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
Renal Replacement Therapy Part V
Part 5: Complications and Pharmacokinetics
Summary
Treatment of established AKI is largely supportive. Severe AKI will require some replacement of kid-ney function (renal replacement therapy or RRT). In the absence of absolute indications, the appro-priate timing to start RRT remains a matter of debate. Different modalities are available that may all have specific indications. Recent studies have established the optimal location of the dialysis cathe-ter, the appropriate dose of RRT and the optimal anticoagulant. RRT is not without complications and may have an important impact on drug pharmacology.
This micro-learning unit discussed the potential complications and the impact on drug dosing.
General Information
Enrolled trainees 1539
Open 26.12.2019
Available for ESICM members
Student effort 3
Last Updated August 24, 2022
Intended Learning Outcomes
After studying this module on Renal Replacement Therapy you should be able to:
- List potential complications of RRT
- Describe altered pharmacology during RRT
- List drugs with limited extra corporal removal
- Outline the determinants of antibiotic dosage during RRT
Relevant competencies in CoBaTrICE
- 1.1 Adopts a structured and timely approach to the recognition, assessment and stabilization of the acutely ill patient with disordered physiology
- 1.2 Manages cardiopulmonary resuscitation
- 1.4 Triages and prioritises patients appropriately, including timely admission to ICU
- 2.1 Obtains a history and performs an accurate clinical examination
- 2.2 Undertakes timely and appropriate investigations
- 2.6 Obtains and interprets the results from blood gas samples
- 2.9 Monitors and responds to trends in physiological variables
- 2.10 Integrates clinical findings with laboratory investigations to form a differential diagnosis
- 3.1 Manages the care of the critically ill patient with specific acute medical conditions
- 3.2 Identifies the implications of chronic and co-morbid disease in the acutely ill patient
- 3.4 Recognises and manages the patient with, or at risk of, acute renal failure
- 3.10 Recognises and manages the patient following intoxication with drugs or environmental toxins
- 4.1 Prescribes drugs and therapies safely
- 4.2 Manages antimicrobial drug therapy
- 4.7 Initiates, manages and weans patients from renal replacement therapy
- 4.8 Recognises and manages electrolyte, glucose and acid-base disturbances
- 4.9 Co-ordinates and provides nutritional assessment and support
- 11.4 Identifies and minimises risk of critical incidents and adverse events, including complications of critical illness
- 11.6 Critically appraises and applies guidelines, protocols and care bundles
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
Renal Replacement Therapy Part IV
Part 4: Anticoagulation
Summary
Treatment of established AKI is largely supportive. Severe AKI will require some replacement of kidney function (renal replacement therapy or RRT). In the absence of absolute indications, the appropriate timing to start RRT remains a matter of debate. Different modalities are available that may all have specific indications. Recent studies have established the optimal location of the dialysis catheter, the appropriate dose of RRT and the optimal anticoagulant. RRT is not without complications and may have an important impact on drug pharmacology.
General Information
Enrolled trainees 1662
Open 26.12.2019
Available for ESICM members
Student effort 3
Last Updated August 15, 2022
Intended Learning Outcomes
After studying this module on Renal Replacement Therapy you should be able to:
- Outline the difference between circuit clotting and membrane clogging
- Calculate transmembrane pressure
- Describe the potential complications of systemic anticoagulation
- Describe the potential complications of regional citrate anticoagulation
- Outline non-pharmacological approaches to anticoagulation
Relevant competencies in CoBaTrICE
- 1.1 Adopts a structured and timely approach to the recognition, assessment and stabilisation of the acutely ill patient with disordered physiology
- 2.2 Undertakes timely and appropriate investigations
- 2.6 Obtains and interprets the results from blood gas samples
- 2.9 Monitors and responds to trends in physiological variables
- 2.10 Integrates clinical findings with laboratory investigations to form a differential diagnosis
- 3.1 Manages the care of the critically ill patient with specific acute medical conditions
- 3.4 Recognises and manages the patient with, or at risk of, acute renal failure
- 3.10 Recognises and manages the patient following intoxication with drugs or environmental toxins
- 4.1 Prescribes drugs and therapies safely
- 11.4 Identifies and minimises risk of critical incidents and adverse events, including complications of critical illness
- 11.6 Critically appraises and applies guidelines, protocols and care bundles
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
Renal Replacement Therapy Part III
Part 3: Haemodialyzers & Settings
Summary
Treatment of established Acute Kidney Injury (AKI) is largely supportive. Severe AKI will require some replacement of kidney function (renal replacement therapy or RRT). In the absence of absolute indications, the appropriate timing to start RRT remains a matter of debate. Different modalities are available that may all have specific indications. Recent studies have established the optimal location of the dialysis catheter, the appropriate dose of RRT and the optimal anticoagulant. RRT is not with-out complications and may have an important impact on drug pharmacology.
Here, we describe the characteristics of the haemofilters/dialyzers and how to set the Continous Renal Replacement Therapy (CRRT) machine.
General Information
Enrolled trainees 1795
Open 26.12.2019
Available for ESICM members
Student effort 2
Last Updated August 9, 2022
Intended Learning Outcomes
- Describe the most important membrane characteristics
- Outline the main determinants of the treatment dose
- Outline the determinants of the filtration fraction
Relevant competencies in CoBaTrICE
- 1.1 Adopts a structured and timely approach to the recognition, assessment and stabilisation of the acutely ill patient with disordered physiology
- 2.2 Undertakes timely and appropriate investigations
- 2.6 Obtains and interprets the results from blood gas samples
- 2.9 Monitors and response to trends in physiological variables
- 2.10 Integrates clinical findings with laboratory investigations to form a differential diagnosis
- 3.4 Recognises and manages the patient with, or at risk of, acute renal failure
- 3.10 Recognises and manages the patient following intoxication with drugs or environmental toxins
- 4.1 Prescribes drugs and therapies safely
- 4.2 Manages antimicrobial drug therapy
- 4.7 Initiates, manages and weans patients from renal replacement therapy
- 4.8 Recognises and manages electrolyte, glucose and acid-base disturbances
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
Renal Replacement Therapy Part II
Part 2: When to start & Vascular access
Summary
Treatment of established AKI is largely supportive. Severe AKI will require some replacement of kidney function (renal replacement therapy or RRT). In the absence of absolute indications, the appropriate timing to start RRT remains a matter of debate. Different modalities are available that may all have specific indications. Recent studies have established the optimal location of the dialysis catheter, the appropriate dose of RRT and the optimal anticoagulant. RRT is not without complications and may have an important impact on drug pharmacology.
General Information
Enrolled trainees 1805
Open 26.03.2020
Available for ESICM members
Student effort 2
Last Updated August 9, 2022
Intended Learning Outcomes
After studying this module on Renal Replacement Therapy you should be able to:
- List absolute indications to start RRT
- List potential indications to start RRT
- List the potential vascular access locations and the corresponding catheter length
- List the ‘’ten commandments’’ of the ideal RRT catheter
Relevant competencies in CoBaTrICE
- 1.1 Adopts a structured and timely approach to the recognition, assessment and stabilisation of the acutely ill patient with disordered physiology
- 1.2 Manages cardiopulmonary resuscitation
- 1.4 Triages and prioritises patients appropriately, including timely admission to ICU
- 2.1 Obtains a history and performs an accurate clinical examination
- 2.2 Undertakes timely and appropriate investigations
- 2.6 Obtains and interprets the results from blood gas samples
- 2.9 Monitors and responds to trends in physiological variables
- 2.10 Integrates clinical findings with laboratory investigations to form a differential diagnosis
- 3.1 Manages the care of the critically ill patient with specific acute medical conditions
- 3.2 Identifies the implications of chronic and co-morbid disease in the acutely ill patient
- 3.4 Recognises and manages the patient with, or at risk of, acute renal failure
- 3.10 Recognises and manages the patient following intoxication with drugs or environmental toxins
- 4.7 Initiates, manages and weans patients from renal replacement therapy
- 4.8 Recognises and manages electrolyte, glucose and acid-base disturbances
- 4.9 Co-ordinates and provides nutritional assessment and support
- 5.13 Performs central venous catheterisation
- 7.5 Manages the safe and timely discharge of patients from the ICU
- 11.4 Identifies and minimises the risk of critical incidents and adverse events, including complications of critical illness
- 11.6 Critically appraises and applies guidelines, protocols and care bundles
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.
Renal Replacement Therapy Part I
Part 1: What is RRT & RRT modalities?
Summary
Here, we describe the "basics" of RRT, the different modalities and how to choose amongst them.
General Information
Enrolled trainees 2510
Open 26.03.2020
Available for ESICM members
Student effort 3
Last Updated August 15, 2022
Intended Learning Outcomes
After studying this module on Renal Replacement Therapy you should be able to:
- Describe the principles behind the available modalities for RRT
- Describe the different intermittend methods (IRRT)
- Describe the different continuous methods (CRRT)
- Choose the right modality of RRT
Relevant competencies in CoBaTrICE
- 1.1 Adopts a structured and timely approach to the recognition, assessment and stabilisation of the acutely ill patient with disordered physiology
- 1.2 Manages cardiopulmonary resuscitation
- 1.4 Triages and prioritises patients appropriately, including timely admission to ICU
- 2.1 Obtains a history and performs an accurate clinical examination
- 2.2 Undertakes timely and appropriate investigations
- 2.6 Obtains and interprets the results from blood gas samples
- 2.9 Monitors and responds to trends in physiological variables
- 2.10 Integrates clinical findings with laboratory investigations to form a differential diagnosis
- 3.1 Manages the care of the critically ill patient with specific acute medical conditions
- 3.2 Identifies the implications of chronic and co-morbid disease in the acutely ill patient
- 3.4 Recognises and manages the patient with, or at risk of, acute renal failure
- 3.10 Recognises and manages the patient following intoxication with drugs or environmental toxins
- 4.7 Initiates, manages and weans patients from renal replacement therapy
- 4.8 Recognises and manages electrolyte, glucose and acid-base disturbances
- 7.5 Manages the safe and timely discharge of patients from the ICU
Enrollment Options
You are currently NOT enrolled in this course.
This course is available only for registered ESICM members.
If you are an ESICM member you can enrol yourself by clicking the Enrol Me button.
If there is no Enrol button on the top left of this card please check that you have login and that you are an ESICM Member.
Verify that you are logged in the Academy using your valid ESICM account to enrol yourself in the course.
Disclaimer
All authors of ACE courses sign a document declaring absence or any actual or potential conflicts of interest. In addition, they sign a copyright document confirming the work is their own and that they have obtained the necessary permission for any copyrighted material. The latter document also transfers the intellectual copyright to the ESICM. Both the conflict of interest and copyright forms are filed and stored in compliance with GDPR and are available for inspection upon request.