Dialy-trauma in RRT – Questions
🩸💥 When CRRT Heals… but Slowly Hurts—Will You Notice the Dialy-Trauma? 💥🩸 Leave Your Comment Cancel Reply Logged in as nccs@admin. Log out?
When the Ultrasound Speaks – But the Kidneys Disagree – Will You Hesitate?
🩺🔍 When the Ultrasound Speaks… But the Kidneys Disagree—Will You Hesitate? 🔍🩺 Clinical Vignette A 68-year-old man in septic shock. 🧴 Resuscitated with 30 mL/kg fluids. 📉 PLR-induced VTI increase suggests fluid responsiveness. But… 🚽 Urine output <0.2 mL/kg/hr 🧪 Creatinine rising 🌬️ FiO₂ demand escalating You’re at the crossroads. Echo says “Give.” Lungs and kidneys say “Enough.” So—what’s […]
WHEN THE HEART HURTS THE KIDNEYS: THE HIDDEN LINKS
🫀💧 WHEN THE HEART HURTS THE KIDNEYS: THE HIDDEN LINKS💧🫀 Clinical Vignette A 63-year-old male is admitted to hospital with acute decompensated heart failure secondary to anterior wall MI. He has a history of hypertension and diabetes and is on treatment for the same. His vitals are: • BP: 100/75 mm Hg; HR: 90 bpm; […]
Timing is Everything… or is it?
🚨 Timing is Everything… or is it? 🚨 Clinical Vignette A 65‐year‐old male with acute decompensated heart failure secondary to a urinary tract infection is admitted to the ICU. Over 24 hours, he develops AKI with rising creatinine and oliguria alongside signs of fluid overload (acute pulmonary edema). The team must decide whether to initiate […]
Citrate Anticoagulation in Critically ill – Boon or Bane
Citrate Anticoagulation in Critically ill – Boon or Bane Clinical Vignette A 58-year-old male presents with septic shock secondary to a perforated bowel. He is intubated, on vasopressor support, and started on continuous renal replacement therapy (CRRT) due to acute kidney injury and fluid overload. Citrate is being used as the anticoagulant for CRRT. Over […]