Dear Tim,  as far as I know this is the first patient treated with CAVH in the world. We performed this treatment in Vicen...
Time and Transition <ul><li>1984-Ronco’s KI paper </li></ul><ul><li>1990-CAVH becomes more common </li></ul><ul><li>1993-C...
Time and Transition <ul><li>2000-1 st  International Conference on Pediatric Continuous Renal Replacement Therapy </li></u...
DIALYSIS  MODALITY Belsha et al., Pediatr Nephrol, 1995 Patients (%)
Pediatric Choice of RRT # on RRT/yr Year of RRT
Why has this become common? <ul><li>Work in vascular access </li></ul><ul><li>Dedicated staff who is interested in these c...
CRRT:  Who does it? <ul><li>Outside of NA > 70% of all CRRT done by non-nephrologists </li></ul><ul><li>Within NA  </li></...
Who really does CRRT? <ul><li>Nursing staff of the  </li></ul><ul><li>Dialysis units-  thank you </li></ul><ul><li>Critica...
What is the purpose of this meeting? <ul><li>To bring together those in the field who deal with any modality of MOSF with ...
Thank you <ul><li>To those of you who helped make this meeting happen </li></ul><ul><ul><li>Faculty  </li></ul></ul><ul><u...
Who are the faculty? <ul><li>Peter Skippen MD </li></ul><ul><ul><li>Pediatric Critical Care Physician at B. C. Children’s ...
Who are the faculty? <ul><li>Timothy L Kudelka RN, BSN </li></ul><ul><ul><li>Pediatric Dialysis nurse (and former PCIU nur...
Who are the faculty? <ul><li>Bruce Bulloch MD FRCPC FAAP </li></ul><ul><ul><li>Pediatric Emergency Medicine Children’s Hos...
Thank you <ul><li>Baxter </li></ul><ul><li>B Braun </li></ul><ul><li>Dialysis Solution Inc  </li></ul><ul><li>Edwards Life...
Thank you  <ul><li>Norma J Maxvold MD </li></ul><ul><ul><li>Who tolerates me and gives me stability in an unstable world <...
A few requests <ul><li>Ask questions.. </li></ul><ul><ul><li>we all learn </li></ul></ul><ul><li>Interact with others outs...
A few requests <ul><li>Fill out your evaluation cards and hand them into the desk </li></ul><ul><ul><li>11 CMEs </li></ul>...
Finally  <ul><li>Have fun and open your mind </li></ul><ul><li>This is a therapy that is still in development, the applica...
Quote that I live by <ul><li>“the smartest one in the room is the child” </li></ul>
Upcoming SlideShare
Loading in …5
×

Conference Welcome

595 views

Published on

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
595
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
1
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Conference Welcome

  1. 1. 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
  2. 2. Time and Transition <ul><li>1984-Ronco’s KI paper </li></ul><ul><li>1990-CAVH becomes more common </li></ul><ul><li>1993-CVVH with adapted machinery </li></ul><ul><li>1995-automated CVVH(D) machinery </li></ul><ul><li>1997-ultrafiltration controllers with automated machinery </li></ul><ul><li>1999-Thermic controls with automated machinery </li></ul>
  3. 3. Time and Transition <ul><li>2000-1 st International Conference on Pediatric Continuous Renal Replacement Therapy </li></ul><ul><li>2001-Outcome studies </li></ul><ul><li>2001-1 st FDA approved Bicarbonate Based Dialysate </li></ul><ul><li>2002-Citrate anticoagulation </li></ul><ul><li>2002-PEDCRRT list serve </li></ul>
  4. 4. DIALYSIS MODALITY Belsha et al., Pediatr Nephrol, 1995 Patients (%)
  5. 5. Pediatric Choice of RRT # on RRT/yr Year of RRT
  6. 6. Why has this become common? <ul><li>Work in vascular access </li></ul><ul><li>Dedicated staff who is interested in these children </li></ul><ul><li>Patients continue to be sicker then historically </li></ul><ul><li>Automated machinery has made the care easier </li></ul><ul><li>Anticoagulation protocols have made it easier </li></ul>
  7. 7. CRRT: Who does it? <ul><li>Outside of NA > 70% of all CRRT done by non-nephrologists </li></ul><ul><li>Within NA </li></ul><ul><ul><li>USA ~ 70% done by Nephrology but often determined by manpower </li></ul></ul><ul><ul><ul><li>Adult Nephrologists = Adult Intensivists </li></ul></ul></ul><ul><ul><ul><li>Pediatric Nephrologists < Pediatric Intensivists </li></ul></ul></ul><ul><ul><li>Canada ~ 50% done by Nephrology </li></ul></ul>
  8. 8. Who really does CRRT? <ul><li>Nursing staff of the </li></ul><ul><li>Dialysis units- thank you </li></ul><ul><li>Critical Care units- thank you </li></ul><ul><li>Neonatal intensive Care units- thank you </li></ul>
  9. 9. What is the purpose of this meeting? <ul><li>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 </li></ul><ul><li>There are no experts in this field!! </li></ul><ul><li>“If you quit learning then it is time to go home” </li></ul><ul><ul><li>(actually he said get the hell out before you hurt someone!) </li></ul></ul><ul><ul><ul><li>Robert Vernier MD (U of Mn, retired) </li></ul></ul></ul>
  10. 10. Thank you <ul><li>To those of you who helped make this meeting happen </li></ul><ul><ul><li>Faculty </li></ul></ul><ul><ul><li>Carol Malone </li></ul></ul><ul><ul><li>Joni Barnett RN </li></ul></ul><ul><ul><ul><li>PICU, dialysis and Research nurse at CHA </li></ul></ul></ul><ul><ul><li>Dialysis staff, PICU, NICU and Office of Pediatric Nephrology at CHA </li></ul></ul>
  11. 11. Who are the faculty? <ul><li>Peter Skippen MD </li></ul><ul><ul><li>Pediatric Critical Care Physician at B. C. Children’s Hospital at Vancouver, BC </li></ul></ul><ul><li>Kay Latta MD </li></ul><ul><ul><li>Pediatric Nephrologist at Kinderklinik Medizinische, Hannover, Germany </li></ul></ul>
  12. 12. Who are the faculty? <ul><li>Timothy L Kudelka RN, BSN </li></ul><ul><ul><li>Pediatric Dialysis nurse (and former PCIU nurse) at Univ of Michigan, Ann Arbor, MI </li></ul></ul><ul><li>Stuart L Goldstein MD </li></ul><ul><ul><li>Baylor College of Medicine and Texas Children’s Hospital, Houston TX </li></ul></ul>
  13. 13. Who are the faculty? <ul><li>Bruce Bulloch MD FRCPC FAAP </li></ul><ul><ul><li>Pediatric Emergency Medicine Children’s Hospital of Winnipeg, Canada </li></ul></ul><ul><li>Patrick D Brophy MD FRCPC </li></ul><ul><ul><li>Pediatric Nephrologist University of Michigan, Ann Arbor MI </li></ul></ul>
  14. 14. Thank you <ul><li>Baxter </li></ul><ul><li>B Braun </li></ul><ul><li>Dialysis Solution Inc </li></ul><ul><li>Edwards Life Sciences </li></ul><ul><li>Fresenius </li></ul><ul><li>Gambro </li></ul><ul><li>MedComp Inc </li></ul>
  15. 15. Thank you <ul><li>Norma J Maxvold MD </li></ul><ul><ul><li>Who tolerates me and gives me stability in an unstable world </li></ul></ul>
  16. 16. A few requests <ul><li>Ask questions.. </li></ul><ul><ul><li>we all learn </li></ul></ul><ul><li>Interact with others outside your program during the breaks, lunch </li></ul><ul><li>Visit the booths </li></ul><ul><ul><li>Learn what each machine, solution, and access can do for your program </li></ul></ul>
  17. 17. A few requests <ul><li>Fill out your evaluation cards and hand them into the desk </li></ul><ul><ul><li>11 CMEs </li></ul></ul><ul><ul><li>14.7 CEUs </li></ul></ul>
  18. 18. Finally <ul><li>Have fun and open your mind </li></ul><ul><li>This is a therapy that is still in development, the applications of these therapies are without boundaries </li></ul>
  19. 19. Quote that I live by <ul><li>“the smartest one in the room is the child” </li></ul>

×