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Opening Comments

  1. 1. PCRRT meeting June 22-24, 2000 Timothy E. Bunchman Professor Pediatrics
  2. 2. Conception of the PCRRT meeting <ul><li>Discussions from intensivists and nephrologists need for a forum for discussions of issues unique to PCRRT </li></ul><ul><li>Growth of the San Diego meeting of Dr Mehta’s that is now in its 5 year </li></ul><ul><li>A realization that PCRRT it more then just for ARF but may be helpful in sepsis, ECMO, hepatic support </li></ul>
  3. 3. Pediatric Choice of RRT UMHS # on RRT/yr Year of RRT
  4. 4. Why more CRRT? <ul><li>Improved access </li></ul><ul><li>Improved or adapted machinery </li></ul><ul><li>Combined interests of Pediatric Nephrologist and Intensivist </li></ul><ul><li>CRRT identified as more gentle due to more severe illness of disease in children with more hemodynamic instability </li></ul>
  5. 5. Etiology of need of RRT (Parekh et al, Adv RRT, Vol 3, 326-336, 1996 ) <ul><li>Primary renal failure-44% </li></ul><ul><li>Sepsis-17% </li></ul><ul><li>Congenital Heart Disease-16% </li></ul><ul><li>Bone Marrow Transplant-7% </li></ul><ul><li>Urea Cycle Defects-6% </li></ul><ul><li>Heart/Liver Transplantation-5% </li></ul><ul><li>Hemolytic Uremic Syndrome-3% </li></ul><ul><li>Renal Transplantation-1% </li></ul>
  6. 6. Organizers of the PCRRT meeting <ul><li>Andree Gardner: Administrator Peds Dialysis </li></ul><ul><li>Diane Hilfinger: Administrator Peds Nephrology </li></ul><ul><li>Brad Wise: Office of CME-UMHS </li></ul><ul><li>Tim Kudelka RN, BSN </li></ul><ul><ul><li>former Peds Critical Care nurse, presently Peds Dialysis nurse and more importantly </li></ul></ul><ul><ul><li>THE WEB MASTER </li></ul></ul>
  7. 7. Speakers at the PCRRT meeting <ul><li>Intensivists </li></ul><ul><li>Norma J Maxvold MD </li></ul><ul><ul><li>Kalamazoo MI </li></ul></ul><ul><li>Peter W Skippen MD </li></ul><ul><ul><li>Vancouver BC </li></ul></ul><ul><li>Joe V DiCarlo MD </li></ul><ul><ul><li>Stanford Univ </li></ul></ul><ul><li>Theresa Mottes RN </li></ul><ul><ul><li>former Critical Care </li></ul></ul><ul><li>Nephrologists </li></ul><ul><li>William R Clark MD </li></ul><ul><ul><li>Adult Neph IN U </li></ul></ul><ul><li>Patrick D. Brophy MD </li></ul><ul><ul><li>Peds Neph Fellow UMHS </li></ul></ul><ul><li>William E. Smoyer MD </li></ul><ul><ul><li>UMHS </li></ul></ul><ul><li>Theresa Mottes RN </li></ul><ul><ul><li>present Dialysis Nurse </li></ul></ul>
  8. 8. Support for the PCRRT meeting <ul><li>Gambro Health Care </li></ul><ul><li>Fresenius Medical Care </li></ul><ul><li>B. Braun Medical Inc </li></ul><ul><li>Edwards Life Sciences </li></ul><ul><li>Baxter Health Care Corp </li></ul><ul><li>Arrow International Inc </li></ul><ul><li>Cook Critical Care </li></ul><ul><li>Kendall (Quinton) </li></ul><ul><li>Med Comp </li></ul><ul><li>Amgen Inc. </li></ul>
  9. 9. Endorsement of the PCRRT meeting <ul><li>Dr Ravindra Mehta: Organizer CRRT meeting </li></ul><ul><li>Ira Greifer MD </li></ul><ul><ul><li>International Pediatric Nephrology Association </li></ul></ul><ul><li>Tim Yeh MD </li></ul><ul><ul><li>Section of Critical Care of the American Academy of Pediatrics </li></ul></ul><ul><li>Those of you who came, who called who said it was a good idea </li></ul>
  10. 10. What is the Goal? <ul><li>To learn from each other </li></ul><ul><li>To improve the quality of care of children with need for PCRRT </li></ul><ul><li>To improve communication between Intensivists and Nephrologist </li></ul><ul><li>To have a good time </li></ul>
  11. 11. Folks that make my job easy <ul><li>John Gardner RN, BSN </li></ul><ul><li>Theresa Mottes RN </li></ul><ul><li>Tim Kudelka RN, BSN </li></ul><ul><li>Laura Dorsey RN </li></ul><ul><li>Betsy Adams RN </li></ul><ul><li>Critical Care Nursing </li></ul><ul><li>Patrick Brophy MD </li></ul><ul><li>Kevin McBryde MD </li></ul><ul><li>Norma Maxvold MD </li></ul><ul><li>Andree Gardner </li></ul><ul><li>Diane Hilfinger </li></ul>

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