Welcome
Transcript of Welcome
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Visit the Exhibitors!!!
They are around the corner in room Coronado A-C
Represented there are Dialysis Equipment Companies Solution Companies Access Companies Book Companies
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Welcome
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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
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Time and Transition
1984-Ronco’s KI paper 1990-CAVH becomes more common 1993-CVVH with adapted machinery 1995-automated CVVH(D) machinery 1997-ultrafiltration controllers with
automated machinery 1999-Thermic controls with automated
machinery
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Time and Transition 2000-1st International Conference on Pediatric
Continuous Renal Replacement Therapy 2001-1st FDA approved Bicarbonate Based
Dialysate (Normocarb) 2001-ppCRRT Registry establishment (Stu
Goldstein) 2001-Goldstein data on FO and outcome 2002-Citrate anticoagulation 2002-PCRRT 2
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Time and Transition
2002-PEDCRRT list serve Gambro releases Prismasate 2003-DiCarlo data on early intervention in
Bone Marrow Transplantation 2004-Foland data on FO and outcome 2004-Data emerging on Pharmacy Errors 2004-PCRRT 3
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DIALYSIS MODALITY
0
10
20
30
40
50
60
HD PD CRRT
Belsha et al., Pediatr Nephrol, 1995
Pat
ien
ts (
%)
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Pediatric Choice of RRT
0
10
20
30
40
50
60
1992 1994 1996 1998 2000 2002
PD
HD
CRRT
# o
n R
RT
/yr
Year of RRT
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Why has this become common? Work in vascular access Dedicated staff who is interested in these
children Patients continue to be sicker then
historically Automated machinery has made the care
easier Anticoagulation protocols have made it easier
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CRRT: Who does it?
Outside of NA > 70% of all CRRT done by Intensivists
Within NA USA ~ 60% done by Nephrology but
often determined by manpower Adult Nephrologists = Adult Intensivists Pediatric Nephrologists < Pediatric Intensivists
Canada ~ 50% done by Nephrology
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Who really does CRRT?
Nursing staff of the
Dialysis units- thank you Critical Care units- thank you Neonatal intensive Care units- thank
you
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What is the purpose of this meeting?
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
There are no experts in this field!! “If you quit learning then it is time to go home”
(actually he said get the hell out before you hurt someone!)
Robert Vernier MD (U of Mn, retired)
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Thank you
To those of you who helped make this meeting happen Faculty Carol Malone
Program and Meeting planner PCRRT Organizing committee PCRRT Foundation, Inc
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Who are the faculty?
Desmond Bohn MB, BCh, FRCPC Pediatric Critical Care Physician @ The
Hospital for Sick Children, Toronto, Ont Canada
Stefano Picca MD Pediatric Nephrologist @Bambino Gesu
Children’s research Hospital, Rome, Italy
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Who are the faculty?
Helen Currier BSN, RN, CNN Clinical Program Specialist
Texas Children’s Hospital, Houston TX Stuart L Goldstein MD
Pediatric Nephrology @ Baylor College of Medicine & Texas Children’s Hospital, Houston TX
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Who are the faculty?
Jordan Symons MD Pediatric Nephrology @ Univ of
Washington, Children’s Hospital of Seattle, Seattle, Wa
Patrick D Brophy MD FRCPC Pediatric Nephrologist University of
Michigan, Ann Arbor MI
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Who are the faculty?
Nancy Hawkins McAfee, RN, BSN, CNN Children’s Hospital of Seattle, Seattle, Wa
Norma J Maxvold MD Pediatric Intensivist @DeVos Children’s
Hospital, Grand Rapids, MI
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Who are the faculty?
Deborah Pasko PharmD Clinical Pharmacist, PICU, University of
Michigan, Ann Arbor MI Andree V Gardner
Supervisor of Administrator Services, DeVos Children’s Hospital, Grand Rapids, MI
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Who are the faculty?
John Gardner, BSN, RN Nurse Manager, Pediatric Nephrology @
DeVos Children’s Hospital, Grand Rapids, MI
Michael Somers, MD Pediatric Nephrologist Boston Children’s
Hospital, Boston MA
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Thanks to our Supporters Arrow International Baxter Health Care B Braun Medical Dialysis Solution Inc Edwards Life Sciences Fresenius Medical Gambro Renal Products MedComp Inc Tyco/Kendall Healthcare
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What is new this time?
Addition of Workshops on Nursing by request Workshops by Industry by request Workshops on Drug monitoring by request Workshops on Nutrition by request
Session on Bone Marrow Transplantation Session on Plasmapheresis
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Who are the Audience
29 abstracts were submitted from 9 separate countries
50% make up of Nursing 45% physician 5% pharmacist
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A few requests
Ask questions.. we all learn
Interact with others outside your program during the breaks, lunch
Visit the booths learn what each machine, solution, and
access can do for your program
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A few requests
Fill out your evaluation cards and hand them into the desk 11.5 CMEs 13.8 CEUs
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Finally
Have fun and open your mind This is a therapy that is still in
development, the applications of these therapies are without boundaries
If Carol Malone of I can help you in any way please do not hesitate to ask
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Quote that I live by
“the smartest one in the room is the child”