CRRT Project

 Project has been indefinitely postponed; requester found that they would not be able to generate the data for us to collect. Ttenbergen 13:12, 2016 February 8 (CST)--Trish Ostryzniuk 16:39, 2016 February 9 (CST)

CRRT is going to be a permanent "temporary project" to collect reasons why patients receive CRRT([1]) treatment.

Status

Template:Discussion Julie mentioned that Nephrology is working on a FORM for the chart that the Nephrology ATTENDING must fill. This will be the form where Collectors will get there information from for reason for CRRT See list below. Collectors, any comment with List below?Trish Ostryzniuk 17:24, 2016 February 4 (CST)

For now we are waiting for a final decision on the form from Dr. Bueti. This collection will not start until the form is deployed Ttenbergen 11:00, 2016 February 8 (CST)

List of Reason for CRRT (updated Feb 4.16)

AKI due to pre-renal/hypovolemia
AKI due to sepsis/distributive shock
Hepatorenal syndrome
AKI due to cardiorenal syndrome
AKI-contrast-induced
AKI Drug-induced(Ibuprofin,Genta/Vanco)
AKI due to endogenous toxin (myoglobin(rabdo)/hemoglobin/paraprotein)
AKI due to exogenous toxin exposure
AKI postop, NOS Template:Discussion what does NOS stand for?
AKI due to thromotic microangiopathy/vascular event
AKI due to acute glomerulonephritis
AKI due to acute interstitial nephritis
AKI due to urinary obstruction
ESRD-on CRRT
ESRD-on IHD
Drug OD -no AKI (removal of drug only)
Fluid reduction WITHOUT AKI or ESRD
Form not available or not filled out

Purpose

Data Collection Instructions

for which patients to code

how to code

Discussion

Template:Discussion

- If possible, for STB, it would be optimal if the sheet that the renal attending could be put on the electronic chart. It could pop up when the orders are written for CRRT or the doctors could put it into their electronic progress notes. We may find that compliance using a paper sheet may not be good here. --LKolesar 10:48, 2016 February 9 (CST)

9 listed: AKI-post op

I would like to suggest using AKI: Fluid Volume Management...Pre-or Post-op

One of major reasons for CRRT in Non-Renal failure population at all sites having this renal replacement therapy(RRT) option often rises from the severe burn and trauma victim group.

Their need for fluids(crystalloid/colloid, blood products and nutritional support[TNA])over a 24hour period can often exceed 20 liters in the first several days of ICU care...the severe burns with skin losses require significant volume replacement throughout their acute injury and debridement stages. CRRT allows for this excessive volume administration as diuretics cannot maintain a stable balance and further renal compromise is almost a certain outcome as well as progressive respiratory issues/failure in the ventilated patient. Allowing room for early nutritional replacement is a significant benefit and aids in improved outcomes. CRRT can remove up to 2L per hour-where and when necessary over a 24 hour period.

How to determine?

Start/End Dates

Start: <when?> Potential: March 1.16 - cancelled indefinitely. --Trish Ostryzniuk 16:39, 2016 February 9 (CST)
End: there is no planned end date

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None yet

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