Visit the Exhibitors!!! <ul><li>They are around the corner in room Coronado A-C </li></ul><ul><li>Represented there are </...
Welcome
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...
Time and Transition <ul><li>2002-PEDCRRT list serve </li></ul><ul><li>Gambro releases Prismasate  </li></ul><ul><li>2003-D...
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 Intensivists </li></ul><ul><li>Within NA  </li></ul><u...
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>Desmond Bohn MB, BCh, FRCPC </li></ul><ul><ul><li>Pediatric Critical Care Physician @ The Hos...
Who are the faculty? <ul><li>Helen Currier BSN, RN, CNN </li></ul><ul><ul><li>Clinical Program Specialist  Texas Children’...
Who are the faculty? <ul><li>Jordan Symons MD </li></ul><ul><ul><li>Pediatric Nephrology @ Univ of Washington, Children’s ...
Who are the faculty? <ul><li>Nancy Hawkins McAfee, RN, BSN, CNN </li></ul><ul><ul><li>Children’s Hospital of Seattle, Seat...
Who are the faculty? <ul><li>Deborah Pasko PharmD </li></ul><ul><ul><li>Clinical Pharmacist, PICU, University of Michigan,...
Who are the faculty? <ul><li>John Gardner, BSN, RN </li></ul><ul><ul><li>Nurse Manager, Pediatric Nephrology @ DeVos Child...
Thanks to our Supporters  <ul><li>Arrow International  </li></ul><ul><li>Baxter Health Care </li></ul><ul><li>B Braun Medi...
What is new this time? <ul><li>Addition of  </li></ul><ul><ul><li>Workshops on Nursing by request </li></ul></ul><ul><ul><...
Who are the Audience <ul><li>29 abstracts were submitted from 9 separate countries </li></ul><ul><li>50% make up of Nursin...
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>11.5 CMEs </li></u...
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>
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Welcome

  1. 1. Visit the Exhibitors!!! <ul><li>They are around the corner in room Coronado A-C </li></ul><ul><li>Represented there are </li></ul><ul><ul><li>Dialysis Equipment Companies </li></ul></ul><ul><ul><li>Solution Companies </li></ul></ul><ul><ul><li>Access Companies </li></ul></ul><ul><ul><li>Book Companies </li></ul></ul>
  2. 2. Welcome
  3. 3. 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
  4. 4. 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>
  5. 5. Time and Transition <ul><li>2000-1 st International Conference on Pediatric Continuous Renal Replacement Therapy </li></ul><ul><li>2001-1 st FDA approved Bicarbonate Based Dialysate (Normocarb) </li></ul><ul><li>2001-ppCRRT Registry establishment (Stu Goldstein) </li></ul><ul><li>2001-Goldstein data on FO and outcome </li></ul><ul><li>2002-Citrate anticoagulation </li></ul><ul><li>2002-PCRRT 2 </li></ul>
  6. 6. Time and Transition <ul><li>2002-PEDCRRT list serve </li></ul><ul><li>Gambro releases Prismasate </li></ul><ul><li>2003-DiCarlo data on early intervention in Bone Marrow Transplantation </li></ul><ul><li>2004-Foland data on FO and outcome </li></ul><ul><li>2004-Data emerging on Pharmacy Errors </li></ul><ul><li>2004-PCRRT 3 </li></ul>
  7. 7. DIALYSIS MODALITY Belsha et al., Pediatr Nephrol, 1995 Patients (%)
  8. 8. Pediatric Choice of RRT # on RRT/yr Year of RRT
  9. 9. 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>
  10. 10. CRRT: Who does it? <ul><li>Outside of NA > 70% of all CRRT done by Intensivists </li></ul><ul><li>Within NA </li></ul><ul><ul><li>USA ~ 60% 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>
  11. 11. 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>
  12. 12. 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>
  13. 13. 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><ul><li>Program and Meeting planner </li></ul></ul></ul><ul><ul><li>PCRRT Organizing committee </li></ul></ul><ul><ul><li>PCRRT Foundation, Inc </li></ul></ul>
  14. 14. Who are the faculty? <ul><li>Desmond Bohn MB, BCh, FRCPC </li></ul><ul><ul><li>Pediatric Critical Care Physician @ The Hospital for Sick Children, Toronto, Ont Canada </li></ul></ul><ul><li>Stefano Picca MD </li></ul><ul><ul><li>Pediatric Nephrologist @Bambino Gesu Children’s research Hospital, Rome, Italy </li></ul></ul>
  15. 15. Who are the faculty? <ul><li>Helen Currier BSN, RN, CNN </li></ul><ul><ul><li>Clinical Program Specialist Texas Children’s Hospital, Houston TX </li></ul></ul><ul><li>Stuart L Goldstein MD </li></ul><ul><ul><li>Pediatric Nephrology @ Baylor College of Medicine & Texas Children’s Hospital, Houston TX </li></ul></ul>
  16. 16. Who are the faculty? <ul><li>Jordan Symons MD </li></ul><ul><ul><li>Pediatric Nephrology @ Univ of Washington, Children’s Hospital of Seattle, Seattle, Wa </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>
  17. 17. Who are the faculty? <ul><li>Nancy Hawkins McAfee, RN, BSN, CNN </li></ul><ul><ul><li>Children’s Hospital of Seattle, Seattle, Wa </li></ul></ul><ul><li>Norma J Maxvold MD </li></ul><ul><ul><li>Pediatric Intensivist @DeVos Children’s Hospital, Grand Rapids, MI </li></ul></ul>
  18. 18. Who are the faculty? <ul><li>Deborah Pasko PharmD </li></ul><ul><ul><li>Clinical Pharmacist, PICU, University of Michigan, Ann Arbor MI </li></ul></ul><ul><li>Andree V Gardner </li></ul><ul><ul><li>Supervisor of Administrator Services, DeVos Children’s Hospital, Grand Rapids, MI </li></ul></ul>
  19. 19. Who are the faculty? <ul><li>John Gardner, BSN, RN </li></ul><ul><ul><li>Nurse Manager, Pediatric Nephrology @ DeVos Children’s Hospital, Grand Rapids, MI </li></ul></ul><ul><li>Michael Somers, MD </li></ul><ul><ul><li>Pediatric Nephrologist Boston Children’s Hospital, Boston MA </li></ul></ul>
  20. 20. Thanks to our Supporters <ul><li>Arrow International </li></ul><ul><li>Baxter Health Care </li></ul><ul><li>B Braun Medical </li></ul><ul><li>Dialysis Solution Inc </li></ul><ul><li>Edwards Life Sciences </li></ul><ul><li>Fresenius Medical </li></ul><ul><li>Gambro Renal Products </li></ul><ul><li>MedComp Inc </li></ul><ul><li>Tyco/Kendall Healthcare </li></ul>
  21. 21. What is new this time? <ul><li>Addition of </li></ul><ul><ul><li>Workshops on Nursing by request </li></ul></ul><ul><ul><li>Workshops by Industry by request </li></ul></ul><ul><ul><li>Workshops on Drug monitoring by request </li></ul></ul><ul><ul><li>Workshops on Nutrition by request </li></ul></ul><ul><li>Session on Bone Marrow Transplantation </li></ul><ul><li>Session on Plasmapheresis </li></ul>
  22. 22. Who are the Audience <ul><li>29 abstracts were submitted from 9 separate countries </li></ul><ul><li>50% make up of Nursing </li></ul><ul><li>45% physician </li></ul><ul><li>5% pharmacist </li></ul>
  23. 23. 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>
  24. 24. A few requests <ul><li>Fill out your evaluation cards and hand them into the desk </li></ul><ul><ul><li>11.5 CMEs </li></ul></ul><ul><ul><li>13.8 CEUs </li></ul></ul>
  25. 25. 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><ul><li>If Carol Malone of I can help you in any way please do not hesitate to ask </li></ul>
  26. 26. Quote that I live by <ul><li>“the smartest one in the room is the child” </li></ul>

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