Transcript Welcome from PCRRT Foundation, Inc

Welcome
from
PCRRT Foundation, Inc
&
Dear Tim,
as far as I know this is the first patient treated with CAVH in the world. We
performed this treatment in Vicenza in 1984 and the patient survived. After
that we published the first series of 4 newborns treated with CAVH (Kidney
International 1986) . You made a great deal of progress since then and even
more with this meeting. Best Wishes
Claudio Ronco
Time and Transition






1984-Ronco’s KI paper
1990-CAVH becomes more common
1993-CVVH with adapted machinery
1995-automated CVVH(D) machinery
1997-ultrafiltration controllers with
automated machinery
1999-Thermic controls with automated
machinery
Time and Transition






2000-1st International Conference on Pediatric
Continuous Renal Replacement Therapy
2001-1st FDA approved Bicarbonate Based Dialysate
(Normocarb)
2001-ppCRRT Registry establishment (Stu
Goldstein)
2001-Goldstein data on FO and outcome
2002-Citrate anticoagulation
2002-PCRRT 2
Time and Transition






2002-PEDCRRT list serve
Gambro releases Prismasate
2003-DiCarlo data on early intervention in
Bone Marrow Transplantation
2004-Foland data on FO and outcome
2004-Data emerging on Pharmacy Errors
2004-PCRRT 3
Time and Transition

2005

Data on Biomarkers emerging




Work by Devarajan and colleagues
Data on citrate NDT Brophy et al
Kidney International paper confirming now with
multicenter data on fluid overload
2006 PCRRT goes to Europe!

Successful meeting in Zurich, Sw
Time and Transition

2007/2008




Hackbarth et al multicenter data vascular access
Flores et al multicenter data AKI in the BMT
popultation
Gambro is allowed to release Prismaflex after
embargo
PCRRT 5
DIALYSIS MODALITY
60
Patients (%)
50
40
30
20
10
0
HD
Belsha et al., Pediatr Nephrol, 1995
PD
CRRT
Pediatric Choice of RRT
60
# on RRT/yr
50
40
PD
HD
CRRT
30
20
10
0
1992
1994
1996
1998
Year of RRT
2000
2002
Why has this become common?





Work in vascular access
Dedicated staff who is interested in these
children
Patients continue to be sicker then
historically
Automated machinery has made the care
easier
Anticoagulation protocols have made it easier
CRRT: Who does it?


Outside of NA > 70% of all CRRT done by
Intensivists
Within NA

USA ~ 60% done by Nephrology but often
determined by manpower



Adult Nephrologists = Adult Intensivists
Pediatric Nephrologists < Pediatric Intensivists
Canada ~ 50% done by Nephrology
Who really does CRRT?




Nursing staff of the
Dialysis units- thank you
Critical Care units- thank you
Neonatal intensive Care units- thank you
What is the purpose of this
meeting?



To bring together those in the field who deal with
any modality of MOSF with RRT who are willing
to listen and learn, to talk and to exchange
There are no experts in this field!!
“If you quit learning then it is time to go home”

(actually he said get the hell out before you hurt
someone!)

Robert Vernier MD (U of Mn, retired)
Thank you

To those of you who helped make this meeting
happen


Faculty
Carol Malone


Stacey Hunt



Program and Meeting planner
Administer of my division who keeps me organized
PCRRT Organizing committee
PCRRT Foundation, Inc
Who are the faculty?

Jim Fortenberry MD


Director of Pediatric Critical Care at Eggleston
Childrens Hospital in Atlanta, GA USA
Stefano Picca MD

Pediatric Nephrologist @Bambino Gesu Children’s
research Hospital, Rome, Italy
Who are the faculty?

Helen Currier BSN, RN, CNN


Clinical Program Specialist
Texas Children’s Hospital, Houston TX
Stuart L Goldstein MD

Pediatric Nephrology @ Baylor College of
Medicine & Texas Children’s Hospital, Houston TX
Who are the faculty?

Jordan Symons MD


Pediatric Nephrology @ Univ of Washington,
Children’s Hospital of Seattle, Seattle, Wa
Patrick D Brophy MD FRCPC

Associate Professor & Director Pediatric
Nephrologist University of Iowa, Iowa City, IA
Who are the faculty?

Prasad Devarajan MD


Professor and Director Pediatric Nephrology
Cincinnati Children’s Hospital, Cincinnati, OH
Dawn Eding RN

Pediatric Critical Care Nurse and Coordinator of
CRRT program, Helen DeVos Children’s Hospital,
Grand Rapids, MI
Who are the faculty?

Maricor Grio MD


Pediatric Nephrology Arnold Palmer Children’s
Hospital, Orlando, FL
Rick Hackbarth MD

Pediatric Critical Care and Associate Professor
Helen DeVos Children’s Hospital, Grand Rapids,
MI
Who are the faculty?

Morgan R. Cole, Pharm.D., BCPS


Manager, Helen DeVos Children's Hospital
Pharmacy Services, Grand Rapids, MI
Michael Zappitelli MD, MSc

Assistant Professor Pediatric Nephrology Montreal
Children’s Hospital & McGill University, Montreal
Canada
What is in the bag?



CDR with all talks
CDR also has an updated list of references as
well as heparin and citrate protocols
Pens and paper from Industry
Thanks to our Supporters






Covidien
B. Braun Medical, Inc.
Dialysis Solutions, Inc.
Baxter Health Care
Fresenius Medical, Inc.
Roche





Gambro
ICU Medical
MedComp
Medigroup, Inc.
NxStage
What is new this time?

Expansion of






Workshops
Workshops
Workshops
Workshops
on Nursing by request
by Industry by request
on Drug monitoring by request
on Nutrition by request
Session on Biomarkers
Session on Infants and Neonates
Who are the Audience




21 abstracts were submitted from 9 separate
countries
50% make up of Nursing
45% physician
5% pharmacist
A few requests

Ask questions..



we all learn
Interact with others outside your program
during the breaks, lunch
Visit the booths

learn what each machine, solution, and access
can do for your program
A few requests

Fill out your evaluation cards and hand them
into the desk


14 CMEs
15 CEUs
Finally



Have fun and open your mind
This is a therapy that is still in development,
the applications of these therapies are
without boundaries
If Carol Malone, Stacey Hunt or I can help
you in any way please do not hesitate to ask
Quote that I live by
“the smartest one in the room is the child”