Assistant Professor of Medicine Perelman School of Medicine, University of Pennsylvania Philadelphia
Disclosure(s):
Christina Brotman: No relevant financial relationship(s) to disclose.
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
