Welcome from PCRRT Foundation, Inc

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Welcome fromPCRRT Foundation, Inc
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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
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Time and Transition

• 1984-Roncos KI paper
• 1990-CAVH becomes more common
• 1993-CVVH with adapted machinery
• 1995-automated CVVH(D) machinery
• 1997-ultrafiltration controllers with automated
  machinery
• 1999-Thermic controls with automated machinery

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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

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Time and Transition

• 2002-PEDCRRT list serve
• 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

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Time and Transition

• 2005
• Data on Biomarkers emerging
• Work by Devarajan and colleagues
• Data on citrate NDT Brophy et al
• Kidney International paper confirming now with
  multicenter data on fluid overload
• 2006 PCRRT goes to Europe!
• Successful meeting in Zurich, Sw

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Time and Transition

• 2007/2008
• Hackbarth et al multicenter data vascular access
• Flores et al multicenter data AKI in the BMT
  popultation
• Gambro is allowed to release Prismaflex after
  embargo
• PCRRT 5

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DIALYSIS MODALITY
Patients ()
Belsha et al., Pediatr Nephrol, 1995
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Pediatric Choice of RRT
on RRT/yr
Year of RRT
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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

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CRRT Who does it?

• Outside of NA gt 70 of all CRRT done by
  Intensivists
• Within NA
• USA 60 done by Nephrology but often
  determined by manpower
• Adult Nephrologists Adult Intensivists
• Pediatric Nephrologists lt Pediatric Intensivists
• Canada 50 done by Nephrology

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Who really does CRRT?

• Nursing staff of the
• Dialysis units- thank you
• Critical Care units- thank you
• Neonatal intensive Care units- thank you

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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)

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Thank you

• To those of you who helped make this meeting
  happen
• Faculty
• Carol Malone
• Program and Meeting planner
• Stacey Hunt
• Administer of my division who keeps me organized
• PCRRT Organizing committee
• PCRRT Foundation, Inc

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Who are the faculty?

• Jim Fortenberry MD
• Director of Pediatric Critical Care at Eggleston
  Childrens Hospital in Atlanta, GA USA
• Stefano Picca MD
• Pediatric Nephrologist _at_Bambino Gesu Childrens
  research Hospital, Rome, Italy

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Who are the faculty?

• Helen Currier BSN, RN, CNN
• Clinical Program Specialist
  Texas Childrens Hospital, Houston TX
• Stuart L Goldstein MD
• Pediatric Nephrology _at_ Baylor College of Medicine
  Texas Childrens Hospital, Houston TX

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Who are the faculty?

• Jordan Symons MD
• Pediatric Nephrology _at_ Univ of Washington,
  Childrens Hospital of Seattle, Seattle, Wa
• Patrick D Brophy MD FRCPC
• Associate Professor Director Pediatric
  Nephrologist University of Iowa, Iowa City, IA

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Who are the faculty?

• Prasad Devarajan MD
• Professor and Director Pediatric Nephrology
  Cincinnati Childrens Hospital, Cincinnati, OH
• Dawn Eding RN
• Pediatric Critical Care Nurse and Coordinator of
  CRRT program, Helen DeVos Childrens Hospital,
  Grand Rapids, MI

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Who are the faculty?

• Maricor Grio MD
• Pediatric Nephrology Arnold Palmer Childrens
  Hospital, Orlando, FL
• Rick Hackbarth MD
• Pediatric Critical Care and Associate Professor
  Helen DeVos Childrens Hospital, Grand Rapids, MI

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Who are the faculty?

• Morgan R. Cole, Pharm.D., BCPS
• Manager, Helen DeVos Children's Hospital Pharmacy
  Services, Grand Rapids, MI
• Michael Zappitelli MD, MSc
• Assistant Professor Pediatric Nephrology Montreal
  Childrens Hospital McGill University,
  Montreal Canada

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What is in the bag?

• CDR with all talks
• CDR also has an updated list of references as
  well as heparin and citrate protocols
• Pens and paper from Industry

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Thanks to our Supporters

• Gambro
• ICU Medical
• MedComp
• Medigroup, Inc.
• NxStage

• Covidien
• B. Braun Medical, Inc.
• Dialysis Solutions, Inc.
• Baxter Health Care
• Fresenius Medical, Inc.
• Roche

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What is new this time?

• Expansion of
• Workshops on Nursing by request
• Workshops by Industry by request
• Workshops on Drug monitoring by request
• Workshops on Nutrition by request
• Session on Biomarkers
• Session on Infants and Neonates

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Who are the Audience

• 21 abstracts were submitted from 9 separate
  countries
• 50 make up of Nursing
• 45 physician
• 5 pharmacist

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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

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A few requests

• Fill out your evaluation cards and hand them into
  the desk
• 14 CMEs
• 15 CEUs

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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, Stacey Hunt or I can help you
  in any way please do not hesitate to ask

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Quote that I live by

• the smartest one in the room is the child