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Renal
One-Hour Concurrent Session

At the Nexus of Acid, Oxygen, Dialysis, and Ventilation: The Patient With Kidney and Respiratory Failure

Sunday, January 21, 2024
3:15 PM – 4:15 PM MT
Location: North-121
CE: 1.0

Patients with severe kidney and respiratory failure represent a unique challenge. The kidneys and lungs have critical interactions fundamental to homeostatic maintenance of pH and oxygenation. Dialysis and mechanical ventilation, used when both organs fail, have a complex physiologic interplay and often involve patient comanagement by nephrologists and intensivists. This session will delve into the care of these complicated patients, reviewing physiologic principles and clinical studies and outlining practical coordinated multiprofessional management strategies.

Learning Objectives:

  • Review basic science and human studies of severe acidemia and volume overload, focusing on underlying pathophysiologic principles and clinical outcomes
  • Illustrate the interaction between therapies controlled by the critical care team, such as mechanical ventilators and IV medications, and therapies often ordered by nephrologists, such as hemodialysis and ultrafiltration
  • Evaluate the perspectives of intensivists and nephrologists regarding renal replacement therapy and mechanical ventilation in patients with severe acidemia and/or volume overload

Presentations:

  • Severe Acidemia and Hypoxemia in Kidney and Respiratory Failure: The Intensivist's View
  • Severe Acidemia and Hypoxemia in Kidney and Respiratory Failure: The Nephrologist's View
  • A Vision for Interdisciplinary Care for Patients With Kidney and Respiratory Failure