Here are a few important guidelines for prescribing RRT in the Neuro ICU gleaned from this review. First off, a recap of the physiology… Intracranial pressure increases are buffered by CSF, such that increased ICP leads to increased…
Geriatric nephrology is in focus in this weeks NEJM with this excellent article by Tamura et al. By linking the USRDS database to a national registry of nursing home residents, they were able to document changes in functional…
It was a close vote that came down to the wire, but there was an ever-so slight preference for peritoneal dialysis modalities (53% CAPD+CCPD) as compared to hemodialysis modalities (47% standard hemo + home hemo) when RFN readers…
Very interesting results of the RFN Poll of the Week regarding different opinions regarding managing the potassium bath in a patient with hyperkalemia! Of the options give, there was a near three-way split between the first three answers…
Trust the Swiss to approach a problem from a confectioners viewpoint. The options for managing hyperkalemia in dialysis patients have always been limited and unpalatable, but this preliminary clinical study from Berne provides some hope. It suggests that…
Calciphylaxis (also called calcific uremic arteriolopathy) is a syndrome of vascular calcification, thrombosis, and necrosis, occurring almost exclusively in ESRD patients. The diagnosis is typically achieved by clinical exam–demonstrating painful, necrotic, and sometimes ulcerating lesions usually on the…
You can probably tell that I am working my way through the most recent NephSAP on Vascular Access, as I keep on posting access-related posts. Today while leafing through the section on dialysis catheters, I was amused to…
Since I’m presently trying to make it through the most recent ish of NephSAP–their first-ever issue of “Interventional Nephrology”–I’ll do another access-related post. A “secondary AV fistula” refers to a fistula created after a pre-existing graft or fistula…
Dialyzer reactions can be classified into two types: “Type A” and “Type B”.Simplistically stated, one is serious and the other one isn’t. A good pneumonic I recently learned from Dr. Daniel Coyne of Washington University-St. Louis at a…
For many common drugs, we have a good idea of whether or not they are dialyzed off. We know that it’s important to re-dose vancomycin after a dialysis session since some of it is removed; conversely, drugs such…
