The NephroCritical Care Society is conducting a survey to assess the diversity of practices in Renal Replacement Therapy (RRT) in low and middle-income countries (LMICs). This survey aims to gather insights on current RRT practices and variations in treatment approaches. Your participation will help to identify key areas for improvement and promote equitable access to quality nephrocritical care.

This survey aims to assess the knowledge, attitudes, and practices involved in RRT for critically ill patients in LMICs. Your participation will help to identify gaps and suggest strategies to standardize protocols, improve training, and enhance patient outcomes. The survey takes 10 minutes, and responses are anonymized.

A 50-year-old male with septic shock develops acute kidney injury (serum creatinine rises from 1.2 to 3.5 mg/dL (normal value 0.7 to 1.3 mg/dL), and serum urea has risen from 18mg/dL to 42mg/dL over 24 hours (normal value 5-20mg/dL), oliguria <0.3 mL/kg/hr for 12 hours, and blood gas showed pH 7.15. He remains hemodynamically stable on low-dose norepinephrine infusion (0.05 mcg/kg/min).

A 60-year-old male with chronic kidney disease stage 3 presents with AKI and hyperkalemia (K+ 6.8 meq/L with ECG changes consistent with hyperkalemia). He is anuric and has severe coagulopathy (INR 2.5, platelets 50,000/μL). CRRT is available but resources are limited.

A 45-year-old female with severe dengue presents with AKI with a serum creatinine 5.0 mg/dL (Normal value 0.7 - 1.3 mg/dL) and fluid overload. She is hemodynamically unstable. Your ICU has only one CRRT machine, which is currently in use.