Dear Colleague, The management of critically ill patients continues to evolve. Recent advances in biology coupled with careful observations in patients have provided new knowledge of disease mechanisms and identified potential targets for intervention. However, applying this information to improve outcomes from critical illness is still a work in progress. Common problems include identifying optimal targets and approaches for resuscitation to maintain tissue perfusion, defining the best therapeutic intervention to sustain organ function, knowing when to intervene with extracorporeal support techniques and when to initiate end of life care. A systematic approach to this problem requires an understanding of the pathophysiologic mechanisms involved, techniques to ascertain the stage of the disease and it relationship to the natural history, knowledge of the therapeutic potential and experience with the optimal strategies that can improve outcomes. Care of the critically ill patient requires a constant updating of knowledge, skills and application of best practices. The twelfth international conference on CRRT highlights the recent advances in our understanding of pathophysiology of critical illness, emerging strategies in the management of sepsis, multi-organ failure, acute kidney injury, technical advances in CRRT and the appropriate utilization of these techniques. As in past years, we have invited internationally recognized experts to discuss several topics that reflect contemporary issues faced by the clinician treating patients in the ICU. A review of the pathophysiology of organ failure is complemented by information on how best to resuscitate patients. Kidney injury and its consequences, modulation of organ dysfunction with extracorporeal techniques and innovations in cardiac and hepatic support are other topics discussed. The emerging field of biomarkers is covered in a series of lectures complemented by two workshops that will explore the utility of these markers for diagnosis, prognosis and management of patients. New technology for the diagnosis, monitoring and treatment of the critically ill patient is now being utilized and its application is described. This year's program focuses on providing practical information to translate new knowledge from the bench to the bedside. This is achieved with a mix of invited lectures, workshops, poster sessions and panel discussions. Specific topics on nursing care, nutritional support and other process of care elements are incorporated in different sessions to promote multidisciplinary understanding and collaborative approaches to patient care. A key goal of the conference is to equip participants with the most up to date and practical knowledge for patient care. Consequently, we have introduced new “hands-on” workshops designed to provide detailed instruction on the use of specific equipment for extracorporeal support. More time has been allocated for networking to continue the tradition of multidisciplinary interactions, which are a highlight of this conference. As always, we hope to provide the right environment to foster learning and mutually beneficial communications and collaborations. We hope that while here, you join us in sharing your knowledge and experience, as it is through multidisciplinary interactions that we will gain a better understanding of critical illness and it is only through our collective efforts that we will improve the lives of our patients. On behalf of the organizing committee we are happy to welcome you to San Diego for our Twefth Anniversary of the CRRT Conference.
Ravindra L Mehta, MD Chairman, Organizing Committee
TwelfTH INTERNATIONAL CONFERENCE ON
CONTINUOUS RENAL REPLACEMENT THERAPIES
Endorsed by
The International Society of Nephrology Acute Kidney Injury Network
ORGANIZING COMMITTEE CHAIRMAN Ravindra L. Mehta, MD, FACP USA Steven R. Alexander, MD Geraldine Biddle, RN, CNN, CPHQ Joseph V. Bonventre, MD, PhD Timothy E. Bunchman, MD Jorge Cerda, MD Glenn M. Chertow, MD William R. Clark, MD Stuart Goldstein, MD Thomas A. Golper, MD David B. Hoyt, MD, FACS Andre A. Kaplan, MD William L. Macias, MD, PhD Rhonda K. Martin, RN, MS, CCRN, CNS/ACNP-C Bruce Mueller, PharmD, FCCP Emil P. Paganini, MD, FACP, FRCP Maria Pascual, RN, BSN, MPH Brian J.G. Pereira, MD David M. Ward, MD, FRCP
CANADA Noel Gibney, MD Martine Leblanc, MD, FRCPC Sheldon Tobe, MD EUROPE Bernard Jean-Marie Canaud, MD Andrew Davenport, MD Patrick Honore, MD Didier Journois, MD, PhD Claudio Ronco, MD Miet Schetz, MD, PhD Raymond Vanholder, MD, PhD JAPAN Tadao Akizawa, MD Hiroyuki Hirasawa, MD, PhD CHINA Lei-shi Li, MD, FHKCP AUSTRALIA Ian Baldwin, RN, MN, ACCCN Rinaldo Bellomo, MD, FRACP
SOUTH AMERICA Emmanuel Burdmann, MD, PhD
INDIA Vijay Kher, MD, DM, FAMS, FISN, FIMSA Rajasekara Chakravarthi, MD, DNB
IMPORTANT CONFERENCE DATES On-site Registration Fees Conference and Workshop Sessions Welcome Reception (7:00 pm) Poster Mounting and Viewing (7:00 pm) Meet the Faculty/Big Band Swing Dance Reception (6:00 pm) NEW Hands-on Workshops (Electives) Gambro Prismaflex Fresenius Gambro Prismaflex (condensed) CHF Solutions Pediatric
March 5-10, 2007 March 7-10, 2007 Thursday, March 8, 2007 Thursday, March 8, 2007 Friday, March 9, 2007
Wednesday, March 7, 2007 Saturday, March 10, 2007 Saturday, March 10, 2007 Saturday, March 10, 2007 Saturday, March 10, 2007
TABLE OF CONTENTS Participating Faculty ………………………………………………………………………2 General Conference Information …………………………………………………………4 Program - Plenary Sessions and Workshops ……………………………………………6 Gambro Prismaflex Elective Workshop (Wednesday, H01) ……………………………6 Elective Workshop List (Saturday, H02, H03, H04 & H05) ……………………………11 Poster List …………………………………………………………………………………13 General Workshop “At a Glance” List …………………………………………………15 Hotel Map …………………………………………………………………………………16
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PARTICIPATING FACULTY Steven R. Alexander, MD
William R. Clark, MD
Jonathan Himmelfarb, MD
Professor of Pediatrics Chief, Pediatric Nephrology Lucille Packard Children's Hospital at Stanford Stanford University Medical Center Stanford, CA USA
Vice President, Clinical Strategy and Therapy Development Gambro Renal Products, Intensive Care Clinical Assistant Professor of Medicine Indiana University School of Medicine Indianapolis, IN USA
Inder S. Anand, MD, FRCP, DPhil
Helen Currier, BSN, RN, CNN
Director, Division of Nephrology and Transplantation Associate Chair for Research, Department of Medicine Maine Medical Center Director, Center for Clinical and Translational Research Maine Medical Center Research Institute Portland, ME USA
Professor of Medicine University of Minnesota Director, Heart Failure Program VA Medical Center, Minneapolis, MN Minneapolis, MN USA
Linda Awdishu, BSc Pharm Transplant Specialist Asst. Clinical Professor The Skaggs School of Pharmacy and Pharmaceutical Sciences, UCSD Asst. Clinical Professor, School of Pharmacy, UCSF San Diego, CA USA
Ian Baldwin, RN, MN, PhD, ACCCN
Assistant Director, Renal/Pheresis Nursing Research Scholar, Center for Clinical Research Texas Children's Hospital Houston, TX USA
Andrew Davenport, MD, MA Consultant Nephrologist Honorary Senior Lecturer Royal Free Hospital London, ENGLAND (UK)
Daniel Davis, MD Clinical Professor UCSD Emergency Medicine San Diego, CA USA
Wilfred Druml, MD
Professor of Intensive Care Nursing Department of Intensive Care Austin Hospital RMIT University Melbourne, VI AUSTRALIA
Medical University of Vienna, Austria Vienna General Hospital Vienna, AUSTRIA
Jeffrey F Barletta, PharmD, FCCM
Department of Pediatrics Emory University School of Medicine Children's Healthcare of Atlanta at Egleston Atlanta, Georgia Atlanta, GA USA
Clinical Specialist- Critical Care Department of Pharmacy Spectrum Health Grand Rapids, MI USA
Arthur Bradwell, MD University of Birmingham Birmingham, WE UNITED KINGDOM
Patrick D. Brophy, MD, FAAP, FRCPC
James Fortenberry, MD
Noel Gibney, MD Professor and Director Division of Critical Care Medicine University of Alberta Edmonton, Canada Edmonton, AB CANADA
Stuart L. Goldstein, MD
Pediatric Nephrology, Dialysis & Transplantation Co-Director, Pediatric Lupus Program, Associate Director Pediatric Hemodialysis Acute Therapies CS Mott Children's Hospital University of Michigan Ann Arbor, MI USA
Associate Professor of Pediatrics Baylor College of Medicine Medical Director, Renal Dialysis Unit Medical Director, Pheresis Service Texas Children's Hospital Houston, TX USA
Timothy E. Bunchman, MD
Professor of Medicine Nephrology Medical Director, Medical Specialties Patient Care Center Vanderbilt University Medical Center Nashville, TN USA
Professor, Pediatric Nephrology & Transplantation Helen DeVos Children's Hospital Grand Rapids, MI USA
Emmanuel Burdmann, MD, PhD Associate Professor, Division of Nephrology Sao Jose do Rio Preto Medical School Sao Jose do Rio Preto, SP BRAZIL
Jorge Cerda, MD, FACP, FASN Clinical Associate Professor of Medicine Albany Medical College and Capital District Renal Physicians Albany, NY USA
Rajasekara Chakravarthi, MD, DNB (Nephrology) Chief - Dept. of Nephrology Care Hospitals Institute of Medical Sciences Hyderabad Hyderabad, AP INDIA
Thomas A. Golper, MD
Patty Graham, RN, MS, CCRN, CS Clinical Nurse Specialist UCSD San Diego, CA USA
Tarek Hassanein, MD Professor of Clinical Medicine and Surgery Division of Gastroenterology and Hepatology Chief of Clinical Hepatology Medical Director of Liver Transplantation UCSD Medical Center San Diego, CA USA
Stefan Herget-Rosenthal, MD Klinik fur Nieren- und Hochdruckkrankheiten Medizinische Klinik Universitatsklinikum Essen, GERMANY
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Patrick M. Honoré, MD Internist-Intensivist,ICU Director Consultant in Intensive Care, Senior Staff Member ICU, Acute Medicine Department St-Pierre Para-University Hospital Ottignies-Louvain-La-Neuve Br BELGIUM
Bertrand L. Jaber, MD, FASN Vice Chair for Clinical Affairs Department of Medicine Caritas St. Elizabeth's Medical Center Associate Professor of Medicine Tufts University School of Medicine Caritas St. Elizabeth's Medical Center Department of Medicine Boston, MA USA
Oliver Joannes-Boyau, MD Anesthesiologist and intensivist Consultant in ICU Consultant in Hemofiltration, Sepsis and Organ Support Therapies University Hospital of Bordeaux Pessac, FRANCE
Andre A. Kaplan, MD
Professor of Medicine University of Connecticut Health Center Plainville, CT USA
John A. Kellum, MD, FACP, FCCM, FCCP Professor, Critical Care Medicine University of Pittsburgh School of Medicine Pittsburgh, PA USA
Vijay Kher, MD Director Dept. of Nephrology & Transplant Medicine Fortis Hospital, B-1, Vasant Kunj New Delhi, INDIA
Michael A. Kraus, MD Associate Professor of Clinical Medicine Clinical Director, Division of Nephrology Indiana University Medical Center Indianapolis, IN USA
Martine Leblanc, MD Assistant Professor University of Montreal Chief of Nephrology Maisonneuve-Rosemont Hospital Montreal, QU CANADA
Lei-shi Li, MD, FHKCP Research Institute of Nephrology Nanjing University, School of Medicine Nanjing, CHINA
Kathleen Liu, MD University of California, San Francisco San Francisco, CA USA
Giancarlo Marenzi, MD Centro Cardiologico Monzino Institute of Cardiology University of Milan Segrate, ITALY
PARTICIPATING FACULTY Mark R. Marshall, MBChB, FRACP Nephrologist, Department of Renal Medicine Middlemore Hospital Honorary Senior Lecturer Faculty of Medical and Health Sciences South Auckland Clinical School University of Auckland Auckland, NEW ZEALAND
Rhonda K. Martin, RN, MS, MLT(ASCP) Nurse Practitioner Clinical Nurse Specialist Hepatology and Liver Transplantation UCSD Medical Center San Diego, CA USA
Ravindra L. Mehta, MBBS, MD, DM, FACP Professor of Clinical Medicine University of California, San Diego School of Medicine Associate Chair for Clinical Affairs, Department of Medicine; Director, Clinical Nephrology and Dialysis Programs UCSD Medical Center San Diego, CA USA
Bruce A. Mueller, PharmD, FCCP Professor and Department Chair Department of Clinical Sciences College of Pharmacy Associate Director, Department of Pharmacy Services, University Hospital University of Michigan Ann Arbor, MI USA
Mark D. Okusa, MD Chief, Division of Nephrology University of Virginia Charlottesville, VA USA
Emil P. Paganini, MD, FACP, FRCP
Joerg Rammo, MD
Sheldon W. Tobe, MD, FRCP(C)
Lipid-Liga Bad Homburg, HE GERMANY
Associate Professor of Medicine, Nephrology University of Toronto Sunnybrook & Women's College Health Sciences Centre Toronto, ON CANADA
Claudio Ronco, MD Director, Department of Nephrology St. Bortolo Hospital Vicenza, ITALY
Edward Ross, MD Division of Nephrology, Hypertension & Transplantation University of Florida Gainesville, FL USA
Bev Ryan, RN Edwards Lifesciences Mississauga, ON CANADA
Miet Schetz, MD, PhD Associate Professor of Medicine, University of Leuven Senior Staff Member Department of Intensive Care University Hospital Gasthuisberg Leuven, BELGIUM
Christian Schlaeper, MS Fresenius Medical Care Walnut Creek, CA USA
Richard Sterns, MD University of Rochester School of Medicine Rochester, NY USA
Jordan M. Symons, MD Division of Pediatric Nephrology Children's Hospital and Regional Medical Center Seattle, WA USA
Ciro Tetta, MD Director, Extracorporeal Therapies Research Department Bad Homburg, GERMANY
Professor of Medicine Head, Section on Dialysis and Extracorporeal Therapy Cleveland Clinic Foundation Cleveland, OH USA
Maria T. Pascual, RN, BSN, MPH UCSD Medical Center San Diego, CA USA
Michael R. Pinsky, MD, CM, Dr hc, FCCP, FCCM Professor of Critical Care Medicine, Bioengineering and Anesthesiology University of Pittsburgh Pittsburgh, PA USA
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Ashita Tolwani, MD University of Alabama at Birmingham Birmingham, AL USA
James A. Tumlin, MD FlowMedica Incorporated-Grant GE Healthcare-Speakers Forum Charlotte, NC USA
Gunars E. Valkirs, PhD Sr. Vice President, Discovery Biosite Incorporated San Diego, CA USA
Amit Varma, MD Chief Operating Officer & Director Critical Care Medicine Fortis Healthcare Limited New Delhi, DE INDIA
David M. Ward, MD, FRCP Professor of Clinical Medicine Associate Medical Director of Kidney Transplantation Director, Apheresis Program UCSD Medical Center San Diego, CA USA
Lee C. Ware, RN Baxter Healthcare Corporation Austin, TX USA
GENERAL INFORMATION CONFERENCE DATES AND LOCATION The inclusive dates for all scientific sessions of the TWELFTH INTERNATIONAL CONFERENCE ON RENAL REPLACEMENT THERAPIES are March 7-10, 2007. The Conference will be held at the Hotel del Coronado, 1500 Orange Ave., Coronado, California. Tel: (619) 435-6611, Fax: (619) 522-8238. www.hoteldel.com
Please note: Program Schedule may be subject to change
REGISTRATION INFORMATION Please visit our website to register, or use the form at the back of this brochure. All participants must register and pay the appropriate fee. Conference registrants will have access to all scientific sessions and poster sessions. The registration fee includes general sessions, workshops, CME accreditation, conference syllabus, continental breakfasts, coffee breaks, receptions and lunch on Thursday and Friday. Registration for those enrolled in the elective workshop H01 Gambro Prismaflex will start at 8:00am Wednesday, March 7th. General registration will begin on the evening of March 7th at 5:30pm. Poster Viewing will begin on Thursday evening March 8th. For additional conference registration times see the program. REGISTRATION FEES Physicians (MD, PhD, etc.)
Nurses/Dieticians/Industry Pharmacists/Residents*/Fellows*
On-site Registration March 5 thru March 10, 2007
*with letter of verification from department head
$ 730
$ 540
Conference Registration Fee does not include Elective Hands-On Workshops.
ELECTIVE HANDS-ON WORKSHOPS NEW this year… we are providing elective “hands-on” workshops that will provide detailed instructions on the use of CRRT equipment. Each workshop will provide training on the use of the device including setup, operations, monitoring and alarm conditions. Workshops have limited slots to maximize opportunity for each participant to learn how to operate the equipment. These workshops are a unique opportunity to acquire or refresh skills with different CRRT equipment. Wednesday, March 7th 9:00am – 4:30pm HO1: Gambro Prismaflex Hands-On Workshop (this workshop has reached capacity and is closed)
(includes lunch & breaks)
$125
Concurrent Hands-On Workshops (includes lunch & PM break) Saturday, March 10th 1:00 – 5:00pm (select one - limited enrollment)
$75
HO2: Fresenius Workshop “SLED , EDD and CRRT with the K Machines” Learn how to us the Fresenius system for CRRT, SLED and EDD HO3: Gambro Prismaflex Workshop (condensed version of H01) (this workshop has reached capacity and is closed) Take advantage of an opportunity to work directly with an Accura or Aquarius to better understand the flexibility of these machines and the benefits they can offer you. Focus areas are: Machine set up, machine priming, machine programming and managing a treatment. HO4: CHF Solutions “The Aquadex FlexFlow System” Use of Aquapheresis and the Aquadex FlexFlow in fluid overload states. HO5: Pediatric Hands-on Workshop How to prescribe and deliver CRRT for neonates and pediatric patients, including machine setup operations monitoring and managing alarm conditions.
GUEST FEES
$150 Includes: Access to Exhibit Area, Welcome Receptions (Thursday), Meet the Faculty Reception (Friday) and two Lunches (Thursday & Friday). Guests are not admitted to the General Sessions or Workshops.
SOCIAL ACTIVITIES Welcome/Exhibit Reception & Poster Session Thursday, March 8th - 7:00pm-8:30pm Meet and interact with your poster presenters and review the latest in equipment and products at this informal reception. Upper and Lower Grande Hall Meet the Faculty/Big Band Swing Dance Reception Friday, March 9th - 6:00pm-7:30pm Meet your faculty and network with your colleagues at the Hotel Del. Crown Room 4
GENERAL INFORMATION TOURS The conference has organized two optional tours for our accompanying guests. More information and registration is available at the conference registration desk. Coronado Walking Tour Thursday, March 8th (10:45am-12:30pm) Meet on the front lawn
Adult/Child $12
Our Coronado Tour is a 90-minute guided walking tour of historic areas in Coronado. The tour will depart from the Glorietta Bay Inn (across the street from our conference site) and former mansion of John D. Spreckels. San Diego Trolley Car Tour Friday, March 9th (9:30am-11:30am)
Adult $30
Child $14
Come along with San Diego's best tour conductors as they combine colorful anecdotes, humorous stories and well researched historical information into a fast moving two hour narrative that's both entertaining and educational.
ACCREDITATION This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the University of California, San Diego School of Medicine and Continuing Renal Replacement Therapies, Inc. The University of California, San Diego School of Medicine is accredited by the ACCME to provide continuing medical education for physicians. The University of California, San Diego School of Medicine designates this educational activity (including elective Hands-On Workshops) for a maximum of 30.25 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity. BRN: Nurses may claim credit for activities approved for AMA PRA Category 1 Credit™ in most states, for up to 50% of the nursing requirement for recertification. This course is designated for 30.25 AMA PRA Category 1 Credits™. (Provider # CME Category 1) AAPA: Accepts AMA PRA Category 1 Credits™ from organizations accredited by the ACCME to grant Category 1 credit. California Assembly Bill 1195 requires continuing medical education activities with patient care components to include curriculum in the subjects of cultural and linguistic competency. It is the intent of the bill, which went into effect on July 1, 2006, to encourage physicians and surgeons, CME providers in the state of California, and the Accreditation Council for Continuing Medical Education to meet the cultural and linguistic concerns of a diverse patient population through appropriate professional development. The planners, speakers and authors of this CME activity have been encouraged to address issues relevant in their topic area. In addition, a variety of resources are available that address cultural and linguistic competency, some of which are included in your syllabus or handout materials. Additional resources and information about AB1195 can be found on our website at http://cme.ucsd.edu.
CANCELLATION POLICY If your registration must be cancelled, your fee, less $100 U.S. for administrative costs, will be refunded upon your written request. No refunds will be made after February 9, 2007. Allow 68 weeks for refund.
CONFERENCE OFFICE/INFORMATION RES Seminars 4425 Cass Street, Suite A San Diego, CA 92109 USA
Phone: Fax: Email:
858-272-1018 858-272-7687
[email protected]
Conference Website: crrtronline.com Views expressed by speakers at the CRRT Meeting are solely their own and do not necessarily reflect the positions or policies of the CRRT, Inc or program committee. The program committee reserves the right to cancel or modify its programs as circumstances might dictate.
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PROGRAM WEDNESDAY, MARCH 7 8:00am Registration for Wednesday’s Elective Hands-On Workshop Outside the Coronet Room 9:00am-4:30pm HO1 Gambro Prismaflex Hands-On Workshop (closed - capacity reached) Coronet Room
Training on setup, connections, operations, monitoring and troubleshooting for the Prismaflex platform system for patients requiring various modalities of CRRT.
5:30-8:00pm
Conference Registration Opens Upper Grande Hall Foyer
THURSDAY MORNING, MARCH 8
7:00am-7:30pm Registration Upper Grande Hall Foyer 8:00am-4:15pm
WORKSHOPS (open to all participants - see codes below)
C= Core workshop, I = Intermediate, A = Advanced, N= Nurses, AP = Nurses & Allied Personnel)
Workshops designated by an asterisk (*) will be presented twice in different time slots. Workshops presented in a series are marked with a “1” for a primary discussion in this area and “2” for a more complex or advanced discussion. Series workshops 1 and 2 can be taken subsequently (following each other) or they can be taken independently (e.g. workshop 1 can be taken without taking workshop 2 and vice versa). 8:00-9:30 SIMULTANEOUS WORKSHOPS GROUP 1 A01* CRRT Systems I (C,N,AP)
9:45-11:15 SIMULTANEOUS WORKSHOPS GROUP 2 A08* CRRT Systems II (C,N,AP)
Device demonstrations of features, setup, operation, monitoring and discontinuation Coastal Surf I. B. Braun Diapact II Pacific Tide II. Baxter - Edwards Lifesciences Critical Care Nephrology Alliance Accura/Aquarius
Device demonstrations of features, setup, operation, monitoring and discontinuation. Coastal Surf I. CHF Solutions Pacific Tide II. NxStage Therapy System
B09 Anticoagulation 1: Mechanisms and Techniques (C)
B02 Dialysis Dose Prescription and Delivery 1 (C,N) Palm
Palm
Operational characteristics influencing solute removal in IHD, PD and CRRT William R. Clark, MD Mark R. Marshall, MBChB, FRACP Claudio Ronco, MD
C10 Fluid Management 1 (I,N,AP)
C03 Vascular Access /Membrane and Circuit 1 (C,N,AP) Sunset
Sunset
Principles of catheter choice, placement, maintenance, recognition and management of complications, selection and use of membranes for different applications, circuit design, setup and monitoring, prevention of infection Ian Baldwin, RN, MN, PhD, ACCCN Michael A. Kraus, MD Maria T Pascual, RN BSN MPH
Crystal
Principles of resuscitation for the critically ill patient Daniel Davis, MD Patty Graham, RN, MS, CCRN, CS
for use in children including neonates. Steven R. Alexander, MD Patrick D. Brophy, MD, FAAP, FRCPC Timothy E. Bunchman, MD Jordan M. Symons, MD
implementation of a CRRT program. Developing and implementing policies and protocols for CRRT Ian Baldwin, RN, MN, PhD, ACCCN Jorge Cerda, MD Rhonda K. Martin, RN, MS, MLT(ASCP)
Extracorporeal Techniques for Sepsis 1 (A)
Windsor Pathophysiology of sepsis and rationale for
F13
use of extracorporeal support in treatment of sepsis. Experimental models for high permeability membranes, HVHF, VHVHF and hybrid therapies Patrick M. Honoré, MD John A. Kellum, MD, FACP
strategies for cardiac and renal failure in the critically ill patient Inder S Anand, MD Giancarlo Marenzi, MD Emil P. Paganini, MD
G14 Therapy Comparisons 1: SLED vs. CRRT vs. PD (I,N,AP)
Principles of plasma exchange, sorbent based and hybrid therapies for extracorporeal support. Results from experimental models and human studies Arthur Bradwell, MD Andre A. Kaplan, MD Joerg Rammo, MD
9:30-9:45
Heart Failure and Cardio-Renal Syndrome 1 (I)
Windsor Pathophysiology, recognition and management
G07 Plasma Exchange Therapy and Hybrid Techniques 1 (A) Garden
Principles and diagnosis of common acid base and electrolyte problems in the critically ill patient. John A. Kellum, MD Richard Sterns, MD James A. Tumlin, MD
E12 Organizational Aspects of CRRT Programs 1: Development and Implementation (C,N,AP) Continental Practical issues for organization and
E05 Pediatric CRRT: The Basics (I,N,AP) Continental Technique requirement and application
F06
Principles of volume assessment, fluid removal and fluid regulation with different CRRT equipment Ravindra L. Mehta, MD Michael R. Pinsky, MD
D11 Acid Base and Electrolyte Problems in the Critically Ill 1 (I,N,AP)
D04 Resuscitation 1 (C,N,AP) Crystal
Anticoagulation regimens: Mechanisms, selection, prescription, monitoring and implementation. Andrew Davenport, MD, MA Oliver Joannes-Boyau, MD Ashita Tolwani, MD
Garden
Comparisons of operational characteristics including anticoagulation, membranes, solutions and flows and approaches for ongoing and future research Rajasekara Chakravarthi, MD, DNB Thomas A. Golper, MD Mark R. Marshall, MBChB, FRACP
Coffee Break - Garden Patio
11:15-12:45 Lunch Hosted by Conference - Windsor Lawn
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THURSDAY AFTERNOON, MARCH 8 12:45-2:15 SIMULTANEOUS WORKSHOPS GROUP 3 A15* CRRT Systems III (C,N,AP)
2:30-4:00 SIMULTANEOUS WORKSHOPS GROUP 4 A22* CRRT Systems I (C,N,AP)
Device demonstrations of features, setup, operation, monitoring and discontinuation. Coastal Surf I. Gambro Prismaflex Pacific Tide II. Fresenius Systems
Device demonstrations of features, setup, operation, monitoring and discontinuation. Coastal Surf I. B. Braun Diapact II Pacific Tide II. Baxter - Edwards Lifesciences Critical Care Nephrology Alliance Accura/Aquarius
B16 Solutions for CRRT 1 (I,N) Palm
Basic concepts for formulation and application of various solutions for pre-dilution, replacement and dialysate in critically ill patients. Timothy E. Bunchman, MD Michael A. Kraus, MD Sheldon W. Tobe, MD, FRCP(C)
B23 Dialysis Dose Prescription and Delivery 2 (I) Palm
C17 Drug Management 1 (I,N,AP) Sunset
Dosing principles for critically ill patients and adjustments in extracorporeal support techniques. Bruce A. Mueller, PharmD, FCCP Miet Schetz, MD, PhD
C24 Vascular Access/Membrane and Circuit 2 (C,N,AP) Sunset
D18 Nutritional Assessment and Support 1 (I, N) Crystal Pathophysiology of malnutrition in critically
ill patients. Principles of nutritional assessment and support. Wilfred Druml, MD Martine Leblanc, MD
Crystal
and their application to CRRT. Approaches to reduce errors in therapy prescription and delivery. Linda Awdishu, BSc, Pharm Ravindra L. Mehta, MD, FACP
Case studies using SIM-Man for resuscitation scenarios. Daniel Davis, MD Patty Graham, RN, MS, CCRN, CS
E26 CRRT in the New Born: Principles and Application Nursing Issues in Pediatric CRRT (I,N,AP) Continental Practical issues for setting up and maintaining
Liver and the Kidney 1 (A)
Windsor Pathophysiology of hepatic failure and rationale
a pediatric CRRT program. Policies and procedures and protocol based management. Helen Currier, BSN, RN, CNN Jordan M. Symons, MD
for use of different techniques for extracorporeal support techniques (Cell based systems, MARS, CRRT) for hepatic support. Tarek Hassanein, MD Stefan Herget-Rosenthal, MD
F27
Extracorporeal Techniques for Sepsis 2 (A)
Windsor Technical considerations and practical appli-
G21 Biomarkers 1 (I,N)
cation of extracorporeal support techniques for sepsis. Results of human studies for use of high permeability membranes, HVHF, VHVHF and hybrid techniques for sepsis. Patrick M. Honoré, MD Oliver Joannes-Boyau, MD Claudio Ronco, MD Ciro Tetta, MD
Garden Principles and classification of biomarkers
and their application for diagnosis and management of diseases. Criteria for using biomarkers as surrogate end points. Bertrand L. Jaber, MD Kathleen Liu, MD
2:15-2:30
Case based discussion of various factors influencing circuit longevity, membrane function and troubleshooting for problems encountered. Ian Baldwin, RN, MN, PhD, ACCCN Michael A. Kraus, MD Maria T Pascual, RN BSN MPH
D25 Resuscitation 2 (A,N,AP)
E19 A Systems-based Approach to CRRT 1 (A,N,AP) Continental Principles of systems based management strategies
F20
Case based discussions of prescription of dose, modality choice and optimal dose delivery to match the therapy to the patients need. William R. Clark, MD Mark R. Marshall, MBChB, FRACP
Coffee Break - Garden Patio
G28 Plasma Exchange Therapy and Hybrid Techniques 2 (A) Garden
Case based discussion of practical application of plasma exchange, sorbent based and hybrid therapies for extracorporeal support. Arthur Bradwell, MD Andre A. Kaplan, MD Lei-shi Li, MD, FHKCP
SESSION I: PATIENT CHARACTERISTICS OPENING SESSION - Upper Grande Hall 4:30 -7:00
Plenary 1 MINI-SYMPOSIA Organ Dysfunction in the Critically Ill Patient
Co-chairs:
Martine LeBlanc, MD Noel Gibney, MD
4:30-4:35
Opening Remarks Ravindra L Mehta, MD, FACP
4:35-4:55
Predicting Lung Injury: Which Markers Kathleen Liu, MD
4:55-5:15
Cardio-Renal Syndrome Inder S. Anand, MD, FRCP, DPhil
5:15-5:35
Nutritional and Energy Requirements in Critical Illness Wilfred Druml, MD
5:35-5:55
Mechanisms of Ischemic AKI Mark D. Okusa, MD
5:55-6:15
SPECIAL LECTURE Renal Effects of Critical Illness Michael Pinsky, MD
6:15-6:35
Kidney Disease: Common, Harmful, Treatable Introducing “World Kidney Day”
6:35-7:00 Panel Discussion Moderator: Emil Paganini, MD 7:00-8:30
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Welcome Reception/Exhibits Open Lower Grande Hall Poster Viewing Upper Grande Hall
PROGRAM FRIDAY MORNING, MARCH 9 7:00am-4:00pm Registration Upper Grande Hall Foyer
SESSION II: EMERGING CONCEPTS IN AKI AND CRITICAL CARE 7:25-7:30am Announcements Ravindra L. Mehta, MD, FACP 7:30- 9:45 Upper Grande Hall
Plenary 2 MINI-SYMPOSIA Acute Kidney Injury (AKI): What’s New?
Co-chairs:
Miet Schetz, MD Claudio Ronco, MD
7:30-7:50
Metabolic Consequences of AKI Jonathan Himmelfarb, MD
7:50-8:05
Genetic determinants in AKI Bertrand L. Jaber, MD
8:05-8:20
Pediatric AKI: Do Biomarkers Predict Injury? Stuart L. Goldstein, MD
8:20-8:35
Recovery from AKI: Predictive Factors Jonathan Himmelfarb, MD
8:35-8:50
Long Term Prognosis of Patients with AKI: Is Intensive Care Worth It? Wilfred Druml, MD
8:50-9:05
10:30-12:45 Plenary 3 MINI-SYMPOSIA Upper Grande Hall Controversies in Management of the Critically Ill Patient Co-chairs:
10:30-10:50 Targeted Resuscitation: Strategies for Success Michael R. Pinsky, MD 10:50-11:10 Wet, Dry, and AKI: Just the FACTTs Kathleen Liu, MD 11:10-11:30 Rapid Response Teams: Do They Save Lives? Daniel Davis, MD 11:30-11:45 ELSO and PALISI Trials James Fortenberry, MD 11:45-12:00 Infection Control in the ICU: An Update Maria Pascual, RN BSN MPH 12:00-12:15 Challenging Cases 2 Lei-shi Li, MD, FHKCP
Management of Cirrhotic Ascites: Can We Prevent AKI? Mark Okusa, MD
9:05-9:20
Challenging Cases 1 Richard Sterns, MD
9:20-9:45
SPECIAL LECTURE Acute Kidney Injury Network: A Strategy to Improve Outcomes from AKI Ravindra L. Mehta, MD, FACP
12:15-12:45 SPECIAL LECTURE Acid-Base Physiology in Critically Ill Patients: Traditional vs Modern Approaches John Kellum, MD, FACP 12:45-1:00 Panel Discussion Moderator: Patrick Honoré, MD 1:00-2:15
9:45-10:00 Panel Discussion Moderator: Jorge Cerda, MD 10:00-10:30
Bruce Mueller, PharmD Wilfred Druml, MD
Coffee Break - Exhibit Area
8
Lunch Hosted by Conference Crown Room
PROGRAM FRIDAY AFTERNOON, MARCH 9 2:15-3:45 SIMULTANEOUS WORKSHOPS GROUP 5 A29* CRRT Systems II (C,N,AP)
4:00-5:30 SIMULTANEOUS WORKSHOPS GROUP 6 A36* CRRT Systems III (C,N,AP)
Device demonstrations of features, setup, operation, monitoring and discontinuation. Coastal Surf I. CHF Solutions Pacific Tide II. NxStage Therapy System
Device demonstrations of features, setup, operation, monitoring and discontinuation. Coastal Surf I. Gambro Prismaflex Pacific Tide II. Fresenius Systems
B37 Solutions for CRRT 2 (A)
B30 Anticoagulation 2: Special Techniques Citrate (A) Palm
Comparison of various techniques for regional citrate anticoagulation including requirements, setup, monitoring and results. Noel Gibney, MD Ashita Tolwani, MD David M. Ward, MD, FRCP
Palm
C38 Drug Management 2 (I,N)
C31 Fluid Management 2 (I,N,AP) Sunset
Case based discussion of application of techniques for fluid regulation in CRRT. Ravindra L. Mehta, MD, FACP Michael R. Pinsky, MD
Sunset
D32 Acid Base and Electrolyte Problems in the Critically Ill 2 (A) Crystal
E33
D39 Nutritional Assessment and Support 2 (I)
Organizational Aspects of CRRT Programs 2: Development and Implementation (C,N,AP)
E40 A Systems-based Approach to CRRT 2 (A,N,AP) Continental Case studies of applications of systems based approaches for problem solving and continuous quality improvement in CRRT. Strategies to implement best practices to improve patient safety and outcomes. Linda Awdishu, BSc Pharm Ravindra L. Mehta, MD, FACP
F41
Heart Failure and Cardio-renal Syndrome 2 (A)
Windsor
Technical considerations, practical application and results of different methods to treat heart failure and cardio-renal syndrome. Inder S Anand, MD, FRCP, DPhil Giancarlo Marenzi, MD Emil P. Paganini, MD, FACP, FRCP
G35 Therapy Comparisons 2: SLED vs. CRRT vs. PD (A) Garden
Case based discussion of technical and practical considerations for nutritional support with CRRT. Wilfred Druml, MD Martine Leblanc, MD Bruce A. Mueller, PharmD, FCCP
Crystal
growing and enhancing a CRRT program. Multidisciplinary teams, collaborative practice, Financial models and other strategies for success. Ian Baldwin, RN, MN, PhD, ACCCN Jorge Cerda, MD, FACP, FASN
Windsor
Case based discussion of practical aspects for drug prescription, delivery and management of drug interactions in CRRT. Thomas A. Golper, MD Miet Schetz, MD, PhD
Case studies of common problems and strategies for management including use of dialytic therapies including CRRT. Jonathan Himmelfarb, MD John A. Kellum, MD, FACP Richard Sterns, MD
Continental Case studies of proven techniques for
F34
Case based discussions of applications of solutions for acid-base and metabolic control, electrolyte and divalent ion homeostasis. Jeffrey F Barletta, PharmD, FCCM Timothy E. Bunchman, MD Edward Ross, MD Sheldon W. Tobe, MD, FRCP(C)
Technical considerations, practical application and results of different methods of hepatic support for patients with hepatic failure and hepatorenal syndrome. Andrew Davenport, MD, MA Stefan Herget-Rosenthal, MD Rhonda K. Martin, RN, MS, MLT(ASCP)
G42 Biomarkers 2 (A) Garden
Case Based Examples of SLED (daily and Continuous), PD (intermittent, tidal) and practical aspects for recognizing and managing complications and approaches for ongoing and future research. Emmanuel Burdmann, MD, PhD Vijay Kher, MD Mark R. Marshall, MBChB, FRACP
3:45-4:00
Liver and Kidney 2: Hepatic Support (A)
5:30
Applications for biomarkers as diagnostics and theranostics in AKI and crtitical illness. Kathleen Liu, MD Gunars E. Valkirs, PhD
Adjourn
6:00-7:30 Meet the Faculty and Big Band and Swing Dance Reception Crown Room
Coffee Break - Exhibit Area
9
PROGRAM SATURDAY MORNING, MARCH 10 7:00am-5:00pm
Registration
SESSION III: TECHNIQUE CHARACTERISTICS 7:25-7:30
Announcements
7:30-10:00 Plenary 4 MINI-SYMPOSIA Challenges and Controversies in Renal Support and CRRT
Upper Grande Hall
Co-chairs:
Prof. Le-Shi Li, MD
8:45-9:00
Applying Pharmacodynamic Principles to CRRT Patients Bruce Mueller, PharmD, FCCP
9:00-9:15
Challenging Cases 3 Vijay Kher, MD
9:15-9:45
SPECIAL LECTURE Debate Contrast Nephropathy: To Filter or Not? Gianacarlo Marenzi, MD James Tumlin, MD
Ian Baldwin, RN, MN, PhD, ACCCN
7:30-7:50
Ultrafiltration for Heart Failure: What is the Evidence? Gianacarlo Marenzi, MD
7:50-8:10
Dose of Dialysis in CRRT: Results of a Randomized Controlled Trial Ashita Tolwani, MD
8:10-8:30
Advances in Renal Support: Literature Review Noel Gibney, MD
8:30-8:45
Fluid Balance Errors with CRRT Machines: Should We Have Standards? Claudio Ronco, MD
9:45-10:00 Panel Discussion Moderator: Thomas Golper, MD 10:00-10:20
Coffee Break - Exhibit Area
SESSION IV: FUTURE TRENDS IN CRRT AND CRITICAL CARE 10:20-12:50 Plenary 5 MINI SYMPOSIA Emerging Strategies in Extracorporeal Support
11:35-11:50 SPECIAL LECTURE Looking to the Future: Applying Systems Biology to Extracorporeal Support John Kellum, MD, FACP
Upper Grande Hall
Co-chairs:
Andrew Davenport, MD Amit Varma, MD
11:50-12:05 Liver Support Systems: Ready for Prime Time? Stefan Herget-Rosenthal, MD
10:20-10:40 Wearable Kidney: Does it Exist? Claudio Ronco, MD
12:05-12:35 Challenging Cases 4 Emmanuel Burdmann, MD, PhD
10:40-11:00 High Cut Off Membranes: Applications for Cancer Arthur Bradwell, MD
12:35-12:50 Panel Discussion Moderator: Stuart Goldstein, MD
11:00-11:20 Diffusive Clearance of Cytokines in Sepsis? Fact or Fantasy? Ian Baldwin, RN MN ACCCN
12:50
Closing Remarks Ravindra L. Mehta, MD, FACP Chairman
11:20-11:35 High Volume or High Permeability Membranes for Sepsis: Which Technique? Patrick Honoré, MD
12:55
10
Conference Adjourns
PROGRAM SATURDAY AFTERNOON, MARCH 10 ELECTIVE HANDS-ON WORKSHOPS 1:00-5:00
Simultaneous Elective Hands-On Workshops
12:45-1:45 Lunch Hosted by Conference for Workshop Participants - Garden Patio 1:45-3:15
SESSION 1
HO2
Fresenius Workshop “SLED , EDD and CRRT with the K Machines” Learn how to us the Fresenius system for CRRT, SLED and EDD
Hanover
HO3 Garden
Gambro Prismaflex Hands-On Workshop (condensed version of H01) (closed - capacity reached) Training on setup, connections, operations, monitoring and troubleshooting for the Prismaflex platform system for patients requiring various modalities of CRRT.
HO4 Crystal
HO5 Continental
3:15-3:30
CHF Solutions “The Aquadex FlexFlow System” Use of Aquapheresis and the Aquadex FlexFlow in fluid overload states. Pediatric Hands-on Workshop How to prescribe and deliver CRRT for neonates and pediatric patients, including machine set up, operations, monitoring and managing alarm conditions Timothy E. Bunchman, MD Helen Currier, BSN, RN, CNN Coffee Break - Garden Patio
3:30-5:00
SESSION 2
5:00
Workshops Adjourn
Save the Dates! Mark Your Calendar Now!
CRRT 2008 February 27 - March 1, 2008 Hotel del Coronado
San Diego, California
crrtonline.com
for the latest info and updates:
11
POSTER PRESENTATIONS Patient Characteristics Poster 1
Poster 8
Impact of Acute Renal Failure in the Prognosis of the Critically Ill Obstetric Patient
Performance of Six Prognostic Scores in Critically Ill Patients Receiving Renal Replacement Therapy
Z. Haddad, C. Kaddour
E. Maccariello, M. Soares, C. Valente, L. Nogueira, J.E. Machado, M. Ismael
Poster 2
Clinical Effects of Early High Volume Hemofiltration on Acute Renal Failure in Post-Cardiotomy Patients
Poster 9
Perioperative Factors Influencing Acute Kidney Injury in Patients following Cardiac Surgeries
D. Ji, D. Gong, B. Xu, B. Ren, Y. Liu, Z. Liu
Varun Sundaram, G. Abraham, Vivek Sundaram, V. Sathiah, E. Bashkar, M. Mathew, S.A. Sylvester, S.P.J. Ponnusami
Poster 3
The Easy and Effective Way to Prevent Hypothermia in Acute Renal Failure Patients on Continuous Venovenous Hemodiafiltration
Poster 10
Hospitalization Duration Affects Hemodynamic Impact of CRRT in Trauma Patients
S.-K. Park, E.Y. Im, S.J. Lee, H.S. Park, S.B. Kim Poster 4
U.Y. Bhatt, D.T. Plott, H. Sakhamuri, T. Hostetler, B. Hixon-Vermillion
Outcome of Acute Renal Failure among Patients with CKD
Poster 11
S. Samavedam, R. Chakravarthi, G. Jagatkar, P. Mohite, H. Shaistha
Postoperative Acute Kidney Injury Is an Important Determinant of Long Term Survival of Surgical Patients
Poster 5
The DOse REsponse Multicenter International Collaborative Initiative (DORE-MI) in Intensive Care Units (ICU)
S. Yavas, M.S. Segal, M. Sungur, A. Gabrielli, A.J. Layon
F. Mariano, M. Herrera, D. Kindgen-Milles, A. Marinho, D. Cruz, G. Monti
Poster 12
Poster 6
K.W. Hatton, A. LeClaire, A.G. Winterstein, A.J. Onyenwenyi, A. Gabrielli, A.J. Layon
The Use of Radiocontrast Nephropathy Prophylaxis in Critically-Ill Patients
Renal Failure in Leptospirosis in India
S. Samavedam, R. Chakravarthi, G. Jagatkar, S. Hussaini, K.V. Kamesh, R.M. Roy
Poster 13
AKI Classification Associated with the Severity of Renal Injury and In-Hospital Mortality in the Patients in a Cardiac Care Unit
Poster 7
Early Changes in Organ Failures Is Associated with the Outcomes of Critically Ill Patients in Need of Renal Replacement Therapy for Acute Kidney Injury
Q. Jin, X. Li, H. Wang
E. Maccariello, M. Soares, C. Valente, L. Nogueira, J.E. Machado, M. Ismael
Emerging Concepts Poster 14
Poster 19
Cascade High Volume Hemofiltration: Preliminary Data in Septic Shock Patients
Developing Nursing Expertise in Continuous Renal Replacement Therapy (CRRT)
P.N. Wiesen, M. Monchi, B.E. Dubois, J.-C.E. Preiser, P.P. Damas
H.A. Odreman, M. Scaum, D. Stamant Poster 20
Evaluation of On-line Monitoring of Dialysis Adequacy
Poster 15
Successful Treatment of Acute Renal Failure with Therapeutic Plasma Exchange N.B. Blatt, T.A. Mottes, P.D. Brophy
A. Rico, C. Stamina, L. Zhang, A. Juma, J. McDougall
Poster 16
Poster 21
D. Ji, D. Gong, B. Xu, B. Ren, Y. Liu, Z. Liu
X. Ding, J. Teng, Y. Fang, L. Chen, J. Zou, Y. Zhong
Effects of High Volume Hemofiltration on Severe Acute Pancreatitis in Pigs
The Effect of Hemofiltration on Adult Respiratory Distress Syndrome
Poster 17
Poster 22
Clinical Effects of High Volume Hemofiltration on Severe Acute Pancreatitis
A Randomized Prospective Study Comparing High Dose Continuous Venovenous -Hemodiafiltration (CVVHDF) to Standard Dose CVVHDF in Critically Ill Patients with Acute Kidney Injury (AKI)
D. Ji, D. Gong, B. Xu, B. Ren, Y. Liu, Z. Liu Poster 18
Heparin Free Slow Low Efficiency Dialysis (SLED) Using Citrate Dialysate (CD) Is Safe and Effective
A.J. Tolwani, R. Speer, B. Stofan, K.R. Lai, K.M. Wille
S. Ahmad, A. Tu
12
POSTER PRESENTATIONS Emerging Concepts (continued) Poster 23
Poster 25
Improved Serum Urea Control in Catabolic ICU Patients on CRRT using Adsorbent Based Partial Bicarbonate Dialysate Recycling is Related to Urea Clearance Independent Mechanisms
Clinical Study of Blood Purification in Pediatric Critical Care
H. Kitayama, N. Wada, T. Kawasaki, M. Yamada, Y. Toyohiroo, M. Yuudai, I. Tetsuji Poster 26
J. Stange, S. Koball, H. Hickstein, S. Mitzner, R. Schmidt, S. Schmidt, T. Szyszkowitz
Innovative Use of CRRT; Low Flow ECLS A. Divekar, R. Soni, M. Seshia, T. Drews, M. Kesselmann, G. Bonin, C. Press, M. Maas, J.Minski, T.D. Blydt-Hansen
Poster 24
The Association Between the Variation of Serum Creatinine and the In-Hospital Mortality of Patients in a Cardiac Care Unit Q. Jin, X. Li, H. Wang
Technique Characteristics
Poster 36
Poster 27
Sustained Low Efficiency Dialysis (SLED) Using Regional Citrate Anticoagulation (RCA) Requires a Larger Infusion of Calcium Chloride
Safety and Efficacy of Low Cost Modified Plasmapheresis in a Perepheral Centre V.R. Pachipala Poster 28
J.A. Clark, G. Schulman, T.A. Golper
Clinical Evaluation of Anticoagulation without Heparin during Continuous Venovenous Hemofiltration
Poster 37
Filter Patency Is Maintained Using Regional Citrate Anticoagulation (RCA) for Sustained Low Efficiency Dialysis (SLED), but at the Cost of Increased Citrate Dose
W.X. Tang, Z.J. Chen, L. Zhou, P. Fu, S. min Huang Poster 29
J.A. Clark, G. Schulman, T.A. Golper
High-Volume Continuous Veno-Venous Hemofiltration Using Citrate Anticoagulation
Poster 38
Premature CVVH Hemofilter Failure: The Role of Severe Hyperlipidemia Complicating Total Parenteral Nutrition
J. Bouchard, P. Roy, M. Albert, S. Troyanov, F. Madore Poster 30
E.A. Ross, A. Kazory, A.A. Ejaz, W.L. Clapp
Safe and Rigorous Implementation of -PulseHVHF in ICU (100ml/kg/h): A Combined Medical and Nursing Approach
Poster 39
Removal of Water Soluble Toxins as One Mechanism of MARS at Different Secondary Dialysate Flow Rates
P.M. Honore, O. Joannes-Boyau, B. Gressens, W. Boer
J. Stange, S. Schmidt, T. Szyszkowitz, R. Schmidt, S. Mitzner
Poster 31
Use of High-Flow Continuous Veno-Venous Hemofiltration with Citrate Anticoagulation for Maintaining Hypernatremia in a Patient with Acute Brain and Kidney Injury
Poster 40
Solute Clearance Comparison between Diffusion and Pre-dilution Filtration Using Large Surface Area Dialyzers: In Vitro Studies
R.M. Hofmann, S.R. Sanghvi, J. Medow Poster 32
J.K. Leypoldt, C.D. Kamerath, J.F. Gilson
Treatment Efficiency Related to Filter Lifespan, Heparine Use, Education and Machine Available
Poster 41
Use of Commercially Available Solutions in Continuous Veno-Venous Hemo-Diafiltration
I.V. Andersen, A. Valentin, P. Carl, J. Hansen
Y. Brahmbhatt, H. Chaparala, S. Kuo, H. Suh, N.K. Wadhwa
Poster 33
Heparin-Free High Volume Venovenous Hemofiltration Treatment for Perioperative Patients of Orthotopic Liver Transplantation
Poster 42
The Increased Efficacy of Citrate over Heparin Catheter-Locking in Reducing Catheter Thrombosis in Hemodialysis Patients
P. Zhang, C. Li, W. Zhang, Q. He, W. XIie, H. Huang, J. Chen Poster 34
N. Khosla, E. Lischer, J. Bestoso, W. Lester, R.L. Mehta
Cost-Effectiveness of Commercially Available Solutions in Continuous Veno-Venous HemoDiafiltration
Poster 43
Intra-Operative (IO) Continuous Renal Replacement Therapy (CRRT) utilizing Regional Citrate Anticoagulation (RCA) during Liver Transplantation: Technical Considerations
Y. Brahmbhatt, S. Kuo, H. Chaparala, H. Suh, N.K. Wadhwa Poster 35
Sustained Low Efficiency Dialysis (SLED) Using Regional Citrate Anticoagulation (RCA) is without Metabolic Complications
R.O. Mathew, E. Lischer, R.L. Mehta
J.A. Clark, G. Schulman, T.A. Golper
13
continued
POSTER PRESENTATIONS (continued) CRRT Research Poster 44
Poster 46
Clinical Research of Prevention and Cure of Hypophosphatemia During Continuous Venovenous Hemofiltration
The Therapeutic Effect of High Volume Hemofililtrition in Severe Acute Pancreatitis
Poster 45
The Effect of Artificial Liver on Serum Cytokines in Pig Model of Fulminant Hepatic Failure
J. Tian, W. Xian, X. Cui, H. Sun, L. Xiong
W.X. Tang, P. Fu, S. min Huang, L. Zhou
Poster 47
Outcome of Acute Renal Failure in Those Needing Continuous Renal Replacement Therapy
J. Tian, L. Geng, L. Xiong, Y. Ma, Z. Duan
S.A. Hussain, M. Saleh, W.P. Piering, Y.-R. Zhu, T. Mohyuddin
Future Trends
Poster 51
Poster 48
Dose Predictions for Combined Treatment of Hemofiltration with Hemodialysis
Establishment of a Community-Wide Continuous Renal Replacement Therapy Center of Excellence Program: A Team Approach using Data Collection
B.G. Min, J.C. Lee Poster 52
S. Shelton, L. Mitchell, C.W. Old, A. Collins Poster 49
Access for Wrist and Forearm Wearable Artificial Kidney, Pancreas and Liver
N. Henderson, Y. Avent
Poster 53
Nursing Education and Competency Verification for CRRT
A.J. Lande
The Use of Xigris in Prolongation of Continuous Renal Replacement Therapy (CRRT) Filter Life
Poster 50
A Study of Bilirubin Kinetics During the Molecular Adsorbent Recirculating System Therapies
L.R. Grier, R. Pintado, M.S. Jordan
D. Gong, J. Daxi, T. Jing, X. Bin, R. Bing, L. Leishi
14
GENERAL WORKSHOPS AT A GLANCE To add or change workshops, please visit the registration desk. Some workshops may not be available because they have reached their room capacity. Codes C = Core workshop I = Intermediate, A = Advanced N = Nurses AP = (of interest to nurses and allied personnel) Workshops with and asterisk are repeated. Workshops label with a “2” are meant to compliment the first part of the workshop (labeled “1”) but they are also suited for registrants that have not attended part 1.
WORKSHOP Group 1 Thursday 8:00-9:30am
WORKSHOP Group 4 Thursday pm 2:30-4:00pm
Code Title
Code Title
A01* CRRT Systems I (C,N,AP) B02 Dialysis Dose Prescription and Delivery 1 (C,N) C03 Vascular Access /Membrane and Circuit 1 (C,N,AP) D04 Resuscitation 1 (C,N,AP) E05 Pediatric CRRT: The Basics (I,N,AP) F06 Extracorporeal Techniques for Sepsis 1(A) G07 Plasma Exchange Therapy and Hybrid Techniques 1 (A)
A22* CRRT Systems I (C,N,AP) B23 Dialysis Dose Prescription and Delivery 2 (I) C24 Vascular Access/Membrane and Circuit 2 (C,N,AP) D25 Resuscitation 2 (A,N,AP) E26 CRRT in the New Born (I,N,AP) F27 Extracorporeal Techniques for Sepsis 2 (A) G28 Plasma Exchange Therapy and Hybrid Techniques 2 (A)
WORKSHOP Group 2 Thursday 9:45-11:15am
WORKSHOP Group 5 Friday 2:15-3:45pm
Code Title
Code Title
A08* B09 C10 D11
CRRT Systems II (C,N,AP) Anticoagulation 1: Mechanisms & Tech.(C) Fluid Management 1 (I,N,AP) Acid Base and Electrolyte Problesm in the Critically Ill 1 (I,N,AP) E12 Organizational Aspects of CRRT Programs 1 (C,N,AP) F13 Heart Failure & Cardio-Renal Syndrome1 (I) G14 Therapy Comparisons I: SLED vs. CRRT vs. PD (I,N,AP)
A29* B30 C31 D32
WORKSHOP Group 3 Thursday 12:45-2:15pm
WORKSHOP Group 6 Friday 4:00-5:30pm
Code
Code Title
Title
A15* B16 C17 D18 E19
CRRT Systems III (C,N,AP) Solutions for CRRT 1 (I,N) Drug Management 1 (I,N,AP) Nutritional Assessment and Support 1 (I,N) A Systems-based Approach to CRRT 1 (A,N,AP) F20 Liver and the Kidney 1 (A) G21 Biomarkers 1 (I,N)
15
CRRT Systems II (C,N,AP) Anticoagulation 2: Special Tech. Citrate (A) Fluid Management 2 (I,N,AP) Acid Base and Electrolyte Problems in the Critically Ill 2 (A) E33 Organizational Aspects of CRRT Programs 2 (C,N,AP) F34 Heart Failure and Cardio-renal Syndrome 2 (A) G35 Therapy Comparisons 2: SLED vs. CRRT vs. PD (A)
A36* B37 C38 D39 E40
CRRT Systems III (C,N,AP) Solutions for CRRT 2 (A) Drug Management 2 (I,N) Nutritional Assessment and Support 2 (I) A Systems-based Approach to CRRT 2 (A,N,AP) F41 Liver and Kidney II: Hepatic Support (A) G42 Biomarkers 2 (A)
WEST PARKING Coffee Breaks for Thursday & Saturday Workshops
PACIFIC OCEAN
Saturday Worhshop Luncheon (Garden Patio) Lunch Thursday
Workshop (Hanover)
WINDSOR LAWN
GARDEN PATIO
Workshops Windsor Complex (Windsor) (Embassy)
Workshop (Garden Room)
Workshop (Continental) Workshop (Crystal)
BALLROOM
MAIN LOBBY
MAIN ENTRANCE California Cabanas Workshops (Coastal Surf) (Pacific Tide)
➮
OCEAN TOWERS
(Palm) (Sunset)
PARKING
16
Lunch Friday Meet the Faculty/ Big Band and Swing Dance Reception (Crown Room)
GRANDE HALL UPPER LEVEL
Registration Wed. 5:30-8:00pm Thur./Fri./Sat. 7:00am-5:00pm (Upper Grande Hall Foyer) Posters (Upper Grande Hall) Exhibits/Coffee Breaks (Spreckles Complex) Speaker Ready Room Thur. pm/Fri./Sat. (Board Room)
LOWER LEVEL
Exhibits/Coffee Breaks (Wilder Complex) Exhibits/Coffee Breaks (Edison Complex) Welcome Reception (Wilder Complex)
ORANGE AVENUE
Plenary Sessions (Upper Grande Hall)
ACKNOWLEDGEMENTS The Twelfth International Conference on Continuous Renal Replacement Therapies would like to acknowledge the support of the CRRT Conference by the following: PATRON
Baxter & Edwards Critical Care Nephrology Alliance Gambro SPONSOR
Biosite CHF Solutions Fresenius Medical Care SUPPORTER
B. Braun Medical Incorporated Dialysis Solutions Incorporated NxStage Medical Incorporated CONTRUBUTOR
Genzyme Roche DONOR
Advanced Renal Technologies American Regent Incorporated Amgen The Binding Site Incorporated Clinical Nephrology Elsevier Publishing Health Informatics Incorporated Karger Ortho Biotech Incorporated TNT Moberg International Ltd. Tyco Healthcare / Kendall