KDIGO Conversations in Nephrology

KDIGO Conversations in Nephrology

KDIGO Conversations in Nephrology features global experts covering a wide range of topics for clinicians treating patients with kidney disease.

Episodes

Episode 19: Extracorporeal Blood Purification in the Context of Multiorgan Support: Current Role and Best Practices

March 21, 2024 • 11 mins

Episode 19 is the third episode in KDIGO's three-episode series on acute kidney injury (AKI), hosted by Dr. Kathleen Liu (University of California at San Francisco, United States).

In this episode, Dr. Liu and Dr. Claudio Ronco (International Renal Research Institute of San Bortolo Hospital, Italy) discuss recent advancements and best practices surrounding Extracorporeal Blood Purification within the complex scenario of multio...

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Episode 18: Personalized Care for AKI – The Role of Digital Decision Support Tools and Augmented Human Intelligence to Improve Outcomes in AKI

March 21, 2024 • 11 mins

Episode 18 is the second episode in KDIGO's three-episode series on acute kidney injury (AKI), hosted by Dr. Kathleen Liu (University of California at San Francisco, United States). In this episode, Dr. Liu is joined by Dr. Kianoush Kashani (Mayo Clinic, United States) to discuss the rising importance of personalized care in AKI treatment. They delve into the world of digital health, exploring how digital decision support tools...

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Episode 17: Stratifying the Risk of Persistent AKI and Clinical Practice

March 21, 2024 • 10 mins

This is the first episode in KDIGO's new 3-episode series on acute kidney injury (AKI), hosted by Dr. Kathleen Liu (University of California at San Francisco, United States).
In this episode, Dr. Liu is joined by Dr. Jay Koyner (University of Chicago, United States) to discuss the emerging field of persistent acute kidney injury (AKI).


They delve into the question: what exactly is persistent AKI, and how does it diffe...

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Episode 16: Appropriate CKD Referral to Specialists

July 11, 2023 • 16 mins
In this episode,  Dr. Peter Lin (Canadian Heart Research Centre, Canada) and  Ikechi Okpechi (University of Alberta, Canada) discuss the right time to refer patients with CKD to a nephrologist. This episode also addresses rapid CKD progression and the utility of risk prediction equations.  This episode is supported by an independent educational grant from AstraZeneca.
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Episode 15: Applying CKD Interventions

July 11, 2023 • 15 mins
Join host Dr. Peter Lin (Canadian Heart Research Centre, Canada) in conversation with Dr. Joel Topf (Oakland University, William Beaumont School of Medicine, USA) as they discuss how to combat CKD progression and the role of non-pharmacological vs pharmacological interventions. This episode will explore whether foundational therapies are underused and how to tailor the right treatment for the right patient at the right time. This ...
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Episode 14: CKD Evaluation & Measurement

July 11, 2023 • 16 mins
In this episode, Dr. Peter Lin (Canadian Heart Research Centre, Canada) and Dr. Magdalena Madero (National Heart Institute Mexico City, Mexico) discuss best practices for CKD evaluation and measurement. This episode focuses on the importance of assessing GFR and albuminuria, identifying the causes of CKD, CKD progression, and when more accurate GFR measures (such as cystatin) should be conducted. This episode is supported by an in...
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Episode 13: Early Detection of CKD

July 11, 2023 • 9 mins

Join host, Dr. Peter Lin (Canadian Heart Research Centre, Canada) and Dr. Lekha Tummalapalli (Weill Cornell Medicine, United States) as they discuss the importance of early CKD detection. This episode explores risk factors, screening for CKD, and country specific factors to take into account when screening for CKD. This episode is supported by an independent educational grant from AstraZeneca.


Show Notes:


https://kdigo.o...

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Episode 10: Challenges in the Early Diagnosis of AAV

February 22, 2023 • 12 mins
Join host, Dr. Vladimir Tesar (General University Hospital, Prague), in conversation with Dr. Duvuru Geetha (Johns Hopkins University School of Medicine, United States) as they discuss the main causes of delays in diagnosis of ANCA-associated vasculitis and the different ways to increase awareness of the disease. This episode will also discuss the role of kidney biopsy in the optimal management and monitoring of these patients. Thi...
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Episode 11: Recent Progress in the Treatment of AAV and its Impact on the Outcome of the Patients

February 22, 2023 • 15 mins
In this episode, host Dr. Vladimir Tesar (General University Hospital, Prague) and Dr. David Jayne (Addenbrooke's Hospital, United Kingdom) discuss the roles of various agents in the induction and maintenance treatment of ANCA- associated vasculitis. They will explore the use of rituximab and complement inhibition in treating ANCA-associated vasculitis. This episode will address the gaps in knowledge and ongoing research in the fie...
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Episode 12: Is There Still Any Role for Plasma Exchange in AAV?

February 22, 2023 • 14 mins
In this episode, host Dr. Vladimir Tesar (General University Hospital, Prague) and Dr. Micheal Walsh (McMaster University, Canada) explore the benefits of plasma exchange for patients with ANCA-associated vasculitis. This episode discusses how to identify patients who may benefit from plasma exchange and the role of plasma exchange in patients with double-positive ANCA and anti-GBM. The utility of rituximab in those also treated wi...
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Episode 9: Best Practices in Nutrition, Drug Management, and Multi-Organ Support in Patients with AKI

November 21, 2022 • 16 mins
Join host, Dr. Marlies Ostermann (Guy's and St Thomas' Hospital, United Kingdom), in conversation with Dr. Sandra Kane-Gill (University of Pittsburgh School of Pharmacy, United States) as they discuss the importance of drug stewardship when treating critically ill patients. This episode will examine various terms such as drug-induced acute kidney injury, drug-associated acute kidney injury, and nephrotoxicity. Dr. Kane-Gill will al...
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Episode 8: The Role of Hemodynamics for AKI and Maintaining Hemodynamic Stability in KRT Patients

November 21, 2022 • 21 mins
In this episode, KDIGO Conversations in Nephrology host, Dr. Marlies Ostermann (Guy's and St Thomas' Hospital, United Kingdom), and Dr. Rinaldo Bellomo (University of Melbourne, Australia) will discuss the importance of hemodynamic stabilization in protecting kidney function for patients on kidney replacement therapy. This episode will also discuss the different strategies and therapies available for maintaining such stability. Urg...
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Episode 7: Best Practices in Fluid Management During CKRT

November 21, 2022 • 21 mins
Join host, Dr. Marlies Ostermann (Guy's and St Thomas' Hospital, United Kingdom), in conversation with Dr. Javier Neyra (University of Alabama in Birmingham, United States) as they explore the role of kidney replacement therapy in managing fluid overload. They will discuss optimal monitoring and how best to remove fluid safely and effectively, including the evaluation of patients’ response to fluid removal prescription. This episod...
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Episode 6: Management of Dyskalemias

September 30, 2021 • 20 mins
Join KDIGO Conversations in Nephrology host, Dr. Roberto Pecoits-Filho, in conversation with Dr. Chuck Herzog as they explore the challenges that occur when managing dyskalemia. They address the consequences of hyperkalemia and hypokalemia. They also discuss how both hospitalized patients and outpatients are affected by hyperkalemia. Dr. Roberto Pecoits-Filho is Senior Research Scientist at Arbor Research and Professor of Medicine ...
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Episode 5: Approaches to RASi Optimization

September 29, 2021 • 12 mins
Join KDIGO Conversations in Nephrology host, Dr. Roberto Pecoits-Filho, in conversation with Dr. Patrick Rossignol as they discuss approaches to RASi optimization. Additional topics include: Monitoring of creatinine and potassium What happens after? Is the GP responsible for follow-up? When to discontinue, when to return? Lack of communication between specialties How different specialties react differently to different value...
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Episode 4: Benefits of RASi Utilization

September 29, 2021 • 21 mins
Join host, Dr. Roberto Pecoits-Filho, and Dr. Catherine Clase as they discuss the benefits of RASi utilization. Additional topics include: The role of RASi in the management of CKD progression Outcomes ACE / ARBs Is RASi underutilized? Is it worth not to discontinue? The impact of the KDIGO Blood Pressure Management in CKD Guideline and Diabetes Management in CKD Guideline on RAASi utilization and future...
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Episode 3: How to Develop an Acute Dialysis Care Quality Program - Quality Metrics and Continuous Improvement

August 10, 2021 • 12 mins
Dr. Ravi Mehta and Theresa Mottes discuss which key components are needed when starting a quality improvement program (QI) for acute dialysis and why those components are needed. They also discuss how to get leverage to implement a QI program and the keys to a successful CRRT quality program. This episode was supported by Baxter.
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Episode 2: Maximizing Filter Life During CRRT – Best Practices on Anticoagulation and Citrate Use

August 10, 2021 • 15 mins
Dr. Ravi Mehta and Dr. Ashita Tolwani discuss best practices on anticoagulation and citrate use, why circuit patency and integrity are important for CRRT, and how and when to use anticoagulation. They also discuss preferred methods for anticoagulation and the parameters that should be monitored for circuit integrity. This episode was supported by Baxter.
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Episode 1: Deciding When and Who Should Start Acute Dialysis - From Evidence to Bedside Practice

August 10, 2021 • 13 mins
In this episode, Dr. Ravi Mehta and Dr. Marlies Ostermann discuss the controversy around defining the optimal timing for starting dialysis in critically ill patients. Dr. Osterman highlights the most relevant parameters that influence when to offer, start, and stop dialysis and gives a comprehensive review of the recent trials on the timing of dialysis. And finally, both presenters address the challenges of managing patients during...
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