bunchman welcome
TRANSCRIPT
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
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 1998-Acute Dialysis Quality Initiative (ADQI.net) 1999-Thermic controls with automated
machinery
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 2002-PEDCRRT list serve
Time and Transition 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 2005-KI paper from ppCRRT 2006 PCRRT-Zurich
DIALYSIS MODALITY
0
10
20
30
40
50
60
HD PD CRRT
Belsha et al., Pediatr Nephrol, 1995
Pat
ien
ts (
%)
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
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
CRRT: Who does it?
Outside of NA wide country variation of whom is responsible for this therapy
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
Who really does CRRT?
Nursing staff of the
Dialysis units- thank you Critical Care units- thank you Neonatal intensive Care units- thank
you
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)
Thank you To those of you who helped make this
meeting happen Faculty Carol Malone
Program and Meeting planner-USA Katrin Burow
Program and Meeting planner-Europe PCRRT Organizing committee PCRRT Foundation, Inc
Who are the faculty?
Oskar Baenziger, MD University Children’s Hospital, Zürich,
Switzerland
Klaus-Eugen Bonzel, MD University Children’s Hospital, Essen,
Germany
Who are the faculty?
Patrick D. Brophy, MD, FRCPC C.S. Mott Children’s Hospital at the
University of Michigan, Ann Arbor, Michigan, USA
Timothy E. Bunchman, MD DeVos Children’s Hospital, Grand Rapids,
Michigan, USA
Who are the faculty?
Ali Dodge-Khatami, MD, PhD University Children’s Hospital, Zürich,
Switzerland
Michel Fischbach, MD Hôpital de Hautepierre, Strasbourg, France
Who are the faculty?
Bernhard Frey, MD University Children’s Hospital, Zürich,
Switzerland
Andree V. Gardner DeVos Children’s Hospital, Grand Rapids,
Michigan, USA
Who are the faculty?
John J. Gardner, RN DeVos Children’s Hospital, Grand Rapids,
Michigan, USA
Peter Gessler, MD University Children’s Hospital, Zürich,
Switzerland
Who are the faculty?
Markus J. Kemper, MD University Children’s Hospital Eppendorf,
Hamburg, Germany
Ernst P. Leumann, MD University Children’s Hospital, Zürich,
Switzerland
Who are the faculty?
Marco Maggiorini, MD University Hospital, Zürich, Switzerland
Thomas J. Neuhaus, MD University Children’s Hospital, Zürich,
Switzerland
Thanks to our Supporters-1
Arrow International Baxter Health Care Dialysis Solution Inc Edwards Life Sciences Freseuius Gambro Hospal Janssen-Cilag
Novo Nordisk Novartis Pfizer Roche Vicor Government of Zurich (city and county) Swiss parents association of children with
kidney disease
Thanks to our Supporters-2
Who are the Audience
27 abstracts were submitted from 12 separate countries
50% make up of Nursing 45% physician 5% pharmacist
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
A few requests
Fill out your evaluation cards and hand them into the desk CMEs and CEUs are available for those
requesting
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, Katrin Burow, Thomas Neuhaus, Oskar Baenziger or I can help you in any way, please do not hesitate to ask.