Program / Workshops

Invited lectures, workshops, dedicated sessions for nursing, poster sessions and panel discussions are planned to continue the tradition of multidisciplinary during our 29th Conference. This year’s program again promises to provide the right environment to foster learning and mutually beneficial interactions and collaborations (program subject to change).

For Complete Conference Brochure (pdf) – Click Here

All times are Pacific Standard Time. Schedule Subject to Change.


Save the Dates!
AKI & CRRT 2024 – March 12-15, 2024

MONDAY, March 11, 2024

12:30pm-5:00pm Conference Registration Open for Pre-conference Electives Participants Only – Regatta Foyer
• CRRT Workshop
• POCUS Workshop
• Critical Care Symposium
• NEXUS Pediatric Workshop

 


PRE-CONFERENCE ELECTIVE CRRT WORKSHOP – DAY 1 (CME Available for a fee)

Practice Based Learning in CRRT: The Science and the Art

1:30pm – 6:00pm

This workshop is designed to provide participants with the knowledge and understanding for the effective utilization of CRRT to manage critically ill patients. Session 1 on Tuesday focuses on the fundamentals of CRRT including the components, operational characteristics and characteristics, solute and fluid management and monitoring. Session 2 on Wednesday will utilize case-based discussions and interactive sessions to illustrate the underlying concepts for application of CRRT in different situations. Delegates will participate in group exercises to apply their learning for the management of complex cases. At the end of this workshop participants will have an improved understanding of how to utilize CRRT for optimizing renal support. A quiz will be administered pre-and post- course for assessment.

Learning Objectives:
• Describe the underlying concepts and review the process of decision making for prescribing and delivering CRRT
• Learn machine set-up for different modalities, alarm conditions, troubleshooting, monitoring and charting
• Utilize the tools provided to manage complex cases

Co-Chairs: Ashita Tolwani, MD and Jorge Cerda, MD

MONDAY AFTERNOON – SESSION 1 (Day 1)

1:30-6:00pm CRRT PRINCIPLES
1:30-1:45pm Opening Remarks – Ashita Tolwani, Jorge Cerda
1:45-2:00 Introduction to CRRT Master Class – Ashita Tolwani
2:00-2:30 Patient Selection, Modality, and Dose – Jorge Cerda
2:30-3:15 The ABC of the CRRT Prescription – Ashita Tolwani
3:15-3:45 Access, Membrane, Circuit – Manish Kaushik
3:45-4:15 Solutions and Fluid Balance – Javier Neyra

4:15-4:30 Coffee Break

4:30-4:50 Drug Dosing and Adjustments – Linda Awdishu
4:50-5:10 Nutritional Support During CRRT – Michael Connor
5:10-6:00 Dysnatremias and Acid Base Disorders – Lenar Yessayan

6:00 pm Adjourn (resume Tuesday morning)




PRE-CONFERENCE ELECTIVE NEXUS PEDIATRIC WORKSHOP – HALF DAY (Non-CME)

NEXUS

Click Here to view the workshop flyer (pdf)
1:00pm – 6:15pm

Multiple pediatric critical care nephrology groups have made great strides to innovate, educate, study and focus the global approach to care for critically ill neonates and children. Recognizing that performing or providing innovative, systematic, state-of-the-art care and research is an ongoing process, we are excited to announce the 1st convocation of the “NEXUS”.

What is the NEXUS? A multi-professional, multi-disciplinary, collaborative think tank of our pediatric critical care nephrology community – designed to foster free-form networking, sharing of ideas, and cohesion/alignment of our work. We believe the NEXUS carries the potential to catalyze synergistic, pluripotent, and accelerated growth in pediatric critical care nephrology across clinical care, advocacy, research, and education. The 1st NEXUS will integrate faculty across multiple disciplines and stages in their career with industry partners as a pre-Course at the 2024 AKI/CRRT meeting in San Diego, CA on Monday March 11th.

AGENDA
1:00-1:15 Introduction to the NEXUS
1:15-2:30 Pediatric Collaboratives – What’s New? The Challenges for the Next Chapter?
2:30-3:15 Refreshment & Interactive Session #1 – Networking between/join collaboratives
3:15-4:15 The Next Big Ideas (x4) – Jr. Faculty Led Sessions
4:15-5:15 Peds and Industry: Advancing Care Together
5:15-5:45 Refreshment & Interactive Session #2 – Industry and Peds Partnerships
5:45-6:00 The Missing Link – What Do We Need for the Next Quantum Leap
6:00-6:15 Sharing of Ideas / Concluding Statements
6:15          Adjourn
7:00-9:00 Dinner

FACULTY
David Askenazi, Rajit K. Basu, Katja Gist, Stuart Goldstein, Cara Slagle, Michael Zappitelli (partial list)

TUESDAY Morning, March 12, 2024

7:00am-12pm Conference Registration Open for Pre-conference Electives Participants Only – Coronado Foyer
• CRRT Workshop
• Critical Care Symposium
• POCUS Workshop

3:30pm-7:30pm Conference Registration open for All Attendees – Coronado Foyer

 


PRE-CONFERENCE ELECTIVE CRRT WORKSHOP – DAY 2 (CME Available for a fee)

Practice Based Learning in CRRT: The Science and the Art

TUESDAY MORNING SESSION 2 (Day 2)

8:00am-9:50am IMPLEMENTING CRRT
8:00-8:20 Initiation and Discontinuation – Manish Kaushik
8:20-8:40 Integrating Multidisciplinary Support Team for CRRT Delivery – Linda Awdishu
8:40-9:00 Paper to Digital, e-Prescribing and Charting for CRRT During AKI in the ICU – Ian Baldwin
9:00-9:20 Developing Quality Measures for CRRT Delivery – David Askenazi
9:20-9:35 Introduction to Workshops – Ashita Towani

9:35-9:50 Coffee Break

TUESDAY MORNING SESSION 3

9:50am-12:00pm WORKSHOPS
Rotating at 45 MIN Intervals: 9:50-10:35am; 10:40-11:20am; 11:25am-12:15pm
Breakout Room #1: Knowing your Circuit, Alarms, and Other Tricks – Ian Baldwin, Katrina Eggleston, Pam Carroll, Katie Plomaritas
Breakout Room #2: The When, How, and Why of CRRT? – Jorge Cerda and Rajit Basu
Breakout Room #3: Citrate Lab and Other Anticoagulation alternatives: Concepts to Build Your Protocol – Lenar Yessayan and Michael Connor

12:15-1:00pm Lunch Hosted by Conference for Workshop Participants

TUESDAY AFTERNOON SESSION 4

1:00pm-3:00pm WORKSHOPS
Rotating at 35 MIN Intervals: 1:00-1:35pm, 1:40-2:15pm, 2:25-3:00pm
Breakout Room #1: Connectology with Hybrid Systems: ECMO, Apheresis, ECCOR – Keith Wille, Ian Baldwin and Katie Plomaritas
Breakout Room #2: Precision Solute Control and Dynamic Dosing with CRRT – Manish Kaushik and Ashita Tolwani
Breakout Room #3: POCUS How to Use it for Fluid Management with CRRT – Ron Wald and Javier Neyra

3:00-3:15 Coffee Break


TUESDAY AFTERNOON SESSION 5 – NON-CME

3:15-5:30pm INTERACTIVE TRACKS
These sessions will have adult and pediatric tracks to familiarize attendees with the available CRRT machines. Participants will be guided on user inter-faces, learn how to set up for different modalities and adjust and monitor for therapy delivery based on the prescription. Machines connections for combination therapies with ECMO, apheresis and adsorption techniques will be shown.

3:15-4:45 CRRT Equipment Demonstrations Simultaneous(select one)

Breakout Room #1: Baxter PRISMAX – Ashita Tolwani, Michael Connor, Katrina Eggleston and Pam Carroll
Breakout Room #2: Fresenius NxStage / multiFiltrate Pro – Lenar Yessayan and Balazs Szamosfalvi (multiFiltrate Pro) and Matthew Trainor, Anne Pontillo (NxStage)
Breakout Room #3: Pediatric Systems Carpediem – David Askenazi, Katie Plomaritas

4:45-5:30 CRRT MASTER CLASS
In this session participants will be allocated to teams and given a case scenario for which they have to determine an appropriate prescription for CRRT and program the machine to deliver the therapy.

5:30 Adjourn

5:30-7:30pm Tuesday Evening Reception & Poster ReviewFor All Conference Attendees





PRE-CONFERENCE CRITICAL CARE NEPHROLOGY SYMPOSIUM (Non-CME)

Innovations in Acute Kidney Injury and Extracorporeal Organ Support

(AKI & CRRT 2024 Conference registration is NOT required to participate)

7:00am-12:00pm Registration OpenFor Pre-Conference Events Only – Coronado Foyer

7:55 am Opening Remarks – Ravindra Mehta, MD

PLENARY 1 The Discovery Pipeline: Molecules, Mechanisms and Targets
Co-Chairs: Alex Zarbock and Prabhleen Singh
8:00-8:20 Developing a Precision Approach to Sepsis and Sepsis-Associated AKI – Robert Star
8:20-8:40 Molecular Endotypes of Sepsis and AKI – John Kellum
8:40-9:00 Tubular Transporters: Targets for AKI? – Volker Vallon
9:00-9:20 Sex as a Biological Variable for AKI – Danielle Soranno
9:20-9:40 Role of the CD40-Ligand Pathway in Tissue Injury of Native and Transplanted Kidney – Vincenzo Cantaluppi
9:40-10:00 Discussion
10:00-10:15 Coffee Break

PLENARY 2 Bench to Bedside: Translating Discoveries to Clinical Care
Co-Chairs: Danielle Soranno and Vincenzo Cantaluppi
10:15-10:35 The Biphasic Effect of Angiotensin II on AKI – Luis Juncos
10:35-10:55 Mitophagy as a Therapeutic Target in AKI – John Prowle
10:55-11:15 Complementary Role of Kidney Biomarkers and Transcriptomic Endotyping in Sepsis Associated AKI – Christian Nusshag
11:15-11:35 Kidney Microphysiological Models for Nephrotoxicity Assessment – Sejoong Kim
11:35-11:55 Human Kidney Precision Medicine Project (KPMP) – Jonathan Himmelfarb
11:55-12:15 Discussion
12:15-1:15 pm Lunch Hosted by Conference

PLENARY 3 Emerging Strategies for AKI Studies
Co-Chairs: Kathleen Liu and Matthieu LeGrand
1:15-1:35 Dynamic Kidney Function Monitoring – Stuart Goldstein
1:35-1:55 Theranostics: Biomarker Guided Interventions – Alex Zarbock
1:55-2:15 Predictive Analytics and Simulations for Trial Design and Implementation – Andrew Shaw
2:15-2:35 Platform Trials for AKI: What Would it Take? – Derek Angus
2:35-2:55 Surrogate Endpoints for Regulatory Approval: What’s Needed? – Bhupinder Singh
2:55-3:15 Discussion
3:15-3:30 Coffee Break

PLENARY 4 Evolving Paradigms: Lessons from Ongoing Trials
Co-Chairs: Marlies Ostermann and Ron Wald
3:30-3:50 One Size Does Not Fit All: The Role of Phenotyping – Jean-Louis Vincent
3:50-4:10 Reappraising MAKE Performance in AKI Trials: What do We Know? – Ravindra Mehta
4:10-4:30 Heterogeneity of Treatment Effect – Derek Angus
4:30-4:50 Overcoming Barriers in the Design and Implementation of Clinical Trials for AKI – Matthieu Legrand
4:50-5:10 Implementing Device Trials: What does it Require? – John Kellum
5:10-5:30 Discussion

5:30 Adjourn

5:30-7:30pm Tuesday Evening Reception & Poster ReviewFor All Conference Attendees





PRE-CONFERENCE POCUS WORKSHOP (CME Available for a fee)

Point of Care Ultrasound (POCUS): Science and Practice

8:00am-4:30pm (limited to 40 participants)

This course is designed for nephrology and critical care providers to learn the basics of Point-Of-Care Ultrasound with a specific focus on frequent pathologies found in acutely ill patients. This workshop will include brief didactic sessions and hands-on sessions. At the end of this workshop, the trainees will have basic knowledge about indications for POCUS, normal/abnormal findings, and how this can be integrated in the evaluation of the patients. The aim is to provide the introductory practical skills necessary to continue their training autonomously. A quiz will be administered pre-and post- course for assessment.

Faculty: W. Beaubien-Souligny; K. Kashani; A. Shaw, R. Wald; J. Deschamps; V. Niyyar

Learning Objectives:
The core focus on this course is as follows:

1. Cardiac: A. Qualitative assessment of chamber size and systolic function; B. Identification of severe valvulopathy; C. Assessment of pericardial fluid and tamponade physiology
2. Thoracic: A. Qualitative assessment of pleural effusion size and characteristics; B. Identification of pneumothorax; C. Assessment of alveolar consolidation and interstitium
3. Abdominal: A. Identification of kidney and bladder and assessment of kidney size and echogenicity, and evaluation of urinary obstruction; B. Identification of intraperitoneal fluid; C. Qualitative assessment of abdominal aorta size
4. Vascular and Vascular Access: A. Patency and caliber of main veins for catheter placement; B. Identifying the presence of a thrombus; C. Basic examination of an arteriovenous fistula/graft
5. Hemodynamic and Fluid Evaluation: A. Inferior vena cava visualization and assessment; B. Venous Doppler assessment; C. Estimating stroke volume / cardiac output

Schedule
Participants will be allocated into groups of 4 and will rotate through each of 5 stations to review the principles of image identification and interpretation and get hands-on experience with the ultrasound probes.

8:00-8:20am Welcome and Pre-quiz
8:20-8:45 Introduction to Basics of Lung Ultrasound
8:45-9:15 Lungs: Hands-on (group 1) / Image Review Session (group 2)
9:15-9:45 Lung Part 2 (group switch)
9:45-10:00 Coffee Break
10:00-10:20 Introduction to Basic Echocardiography
10:20-10:50 Heart: Hands-on (group 1) / Image Review Session (group 2)
10:50-11:10 Heart Part 2 (group switch)
11:10-12:30 Vascular Ultrasound and Vascular Access
12:30-1:15 Lunch Hosted by Conference for Workshop Participants
1:15-1:35 Introduction to Abdominal and Renal Ultrasound
1:35-2:05 Abdomen: Hands-on (group 1) / Image Review Session (group 2)
2:05-2:35 Abdomen Part 2 (group switch)
2:35-2:50 Coffee Break
2:50-3:10 Introduction to Fluid Status Assessment: Putting it all together
3:10-3:40 Fluid Assessment: Hands-on (group 1) / Image Review Session (group 2)
3:40-4:10 Fluid assessment 2 (group switch)
4:10-4:30 Post-quiz and Conclusion
4:30 Adjourn

5:30-7:30pm Tuesday Evening Reception & Poster ReviewFor All Conference Attendees

WEDNESDAY Morning, March 13, 2024

7:00am-7:30pm Conference Registration Open


MEET THE EXPERT Elective Breakfast Sessions – Group 1 (CME Available)
7:00-8:00am
(choose one)
7:00-8:00am
Session 1 (ME1) – How do I Manage the Patient with Septic AKI
Derek Angus and Jean-Louis Vincent

7:00-8:00am
Session 2 (ME2) – How do I Dose Volume During CRRT?
Claudio Ronco and Ashita Tolwani


7:00-8:00am

MORNING SYMPOSIA(CME Available for A and B)
(Seating is LIMITED, selection made during registration, coffee served)

Symposium A – Plasma Exchange in Critically Ill Patients: Who, When and How
Akash Deep and Ian Baldwin (Moderators)
Vedran Premuzic and Dana Fuhrman  (Discussants)
Plasma exchange (PE) is increasingly utilized in the ICU with CRRT and other extracorporeal techniques. This symposium will describe the best approaches for applying PE in critically ill patients and explore merging opportunities for managing patients with hybrid therapies.

Symposium B – Deresuscitation in the ICU: How to use Diuretics, Ultrafiltration and Dialysis
Kat Gist and Matthew Legrand (Moderators)
Patrick Murray, Amir Kazory and Raghavan Murugan (Discussants)
Fluid accumulation and fluid overload are common features of critical illness. Regardless of the cause fluid removal is an integral component of management however can be difficult. This symposium will discuss approaches to restore fluid balance with different techniques.

Diuretic Strategies in Patients Who are Resistant to Loop Diuretics – Patrick Murray
Ultrafiltration and Diuretic Therapy in Acute Heart Failure – Amir Kazory
Fluid Removal with CRRT: How Much and How Fast? – Raghavan Murugan

OPTIONAL INDUSTRY BREAKFAST SYMPOSIUM (Non-CME)
S1Click Here for Details


SESSION I: PATIENT CHARACTERISTICS (CME Available)

8:20-10:30am
Plenary 1 – MINI-SYMPOSIA
Organ Dysfunction in the Critically Ill Patient: Emerging Concepts
Co-Chairs: Neesh Pannu and Michael Joannidis

8:20-8:30 Opening Remarks – Ravindra L Mehta
8:30-8:45 Hidden in Plain Sight; Chloride in Acute Heart Failure – Amir Kazory
8:45-9:00 What’s New in Organ Crosstalk – Kathleen Liu
9:00-9:15 Sepsis in 2024: What’s Next? – Derek Angus
9:15-9:30 Trajectories of Critical Illness – Defining Endotypes from Routine Data – John Prowle
9:30-9:45 Early Multi-modal Vasopressors in Critical Care – Is That a Thing? – Ashish Khanna
9:45-10:00 The Forgotten (Right) Ventricle in Critical Care Medicine – Andrew Shaw
10:00-10:30 SPECIAL LECTURE

Greening Critical Care: Can We Do It?
Yes: Jean-Louis Vincent
Maybe: Marlies Ostermann
No: Derek Angus
Moderator: Claudio Ronco

10:30-11:00 Coffee Break
Faculty Picture


SIMULTANEOUS STANDARD WORKSHOPS (CME Available)
Open to all participants (applicable to physicians, nurses and allied personnel)

These Standard Workshops are designed for smaller groups and allow for more interaction between presenters and attendees. Ample time is available for Q&A.
Codes: C= Core workshop, I = Intermediate, A = Advanced, N= Nurses, AP = Nurses & Allied Personnel

Workshop Tracks
A: AKI; B: CRRT Technique; C: Critical Care Topics ; D: Organ Support

11:00am-12:30pm
Standard Workshops – Group 1
(Choose 0ne)

A01 Enhancing Communication in the Workplace: Conversations in Clinical Encounters (C,N,AP)
This experiential workshop is designed to support patient care by promoting curiosity, listening and perspective taking skills and will include ways to achieve competence in responding mindfully to stressful and demanding situations in patient encounters. Along with brief interactive didactics, we will use medical improv, reflective and experiential exercises to enhance skills for patient interactions. (G. Mehta, JM Maury, Ostermann) Limited to 30 participants

B02 Citrate Anticoagulation for CRRT: How to Use it? (C,N,AP)
Regional citrate anticoagulation (RCA) is increasingly utilized for CRRT. Advances in technology have enabled automated citrate anticoagulation. However, concerns remain about its ease of use and application in patients with liver failure and reduced tissue perfusion. This workshop will discuss the best approaches for utilizing RCA for CRRT. (Tolwani, Joannidis, Ricci)

C03 Focus on POCUS: Assessment of Fluid Responsiveness, Hemodynamic Monitoring and Targets (C,N)
Determining which patient needs fluids, what type, when and how much will be addressed in this workshop which will cover the principles and strategies for volume assessment with point of care ultrasound and hemodynamic monitoring in critically ill patients. (Furhman, Souligny, Deschamps)

D04 Managing Patients with Combined Kidney and Liver Failure (C,N,AP)
Patients with combined liver and kidney failure are difficult to manage. This workshop will discuss the pathophysiology and illustrate best approaches for differential diagnosis and management of these patients. (Nadim, Deep, Juncos)


12:30-2:00pm LUNCH SYMPOSIA(Non-CME)
(Seating is LIMITED, selection made during registration, lunch provided by conference.)
Please note: At this time, these are the only lunch options provided on Wednesday.

W1 Lost in Translation: Communication issues in Critical Care
Despite our best intentions, conversations with caregivers and patients and their surrogates often don’t go as planned. Strategies for effective communication need to recognize complexities to how families will perceive their interactions with the healthcare team. This symposium will review the evidence for approaches to improve communication when patients are often incapacitated, emotions run high and our unconscious bias is in play.
Moderators: Jorge Cerda and Raj Basu

Navigating Conflict or Mis-alignment of Expectations – Sean Bagshaw
Difficult Decisions with Family and Caregivers – Dana Fuhrman
The Case for Compassion – Gita Mehta

W2 Persistent Renal Vulnerability after AKI Recovery: Do Biomarkers Have a Role?
Current paradigms of kidney functional recovery from AKI are based on alterations in serum creatinine and urine output and are often dissociated with the underlying structural damage that may persist and increase the subclinical predisposition to new renal damage and subsequent progression to CKD. The availability of several biomarkers of kidney function and damage provides new approaches to evaluate patients post AKI and target appropriate interventions. This symposium will discuss the role of biomarkers post AKI to enhance patient management.
Moderators: Patrick Murray and Michael Zappitelli

Assessment of Kidney Function During and After AKI – John Prowle
Marrying the FST and Damage Markers to Assess Subclinical AKD – Jay Koyner
Role of Penenkephalin in Assessing Recovery from AKI and AKI-D – Christian Nusshag

OPTIONAL INDUSTRY LUNCH SYMPOSIA(Non-CME)
I1 Click Here for Details
I2 Click Here for Details


SIMULTANEOUS STANDARD WORKSHOPS – (CME Available)

2:00-3:30pm
Standard Workshops – Group 2 (Choose One)

A05 Enhancing Communication in the Workplace: Addressing Conflict and Uncertainty
This workshop will share evidence-based communication tools useful in situations of conflict and decisional uncertainty. We will use clinical scenarios with role-plays to highlight challenges in decisional conversations with patients of diverse ages, cultures, and socio-economic status, and especially on situations of conflict with patients and families regarding treatment. (G Mehta, Kashani, Basu, Fuhrman) Limited to 30 participants

B06 Precision Solute Control and Dynamic Dosing with CRRT? (I,N,AP)
CRRT techniques have evolved with availability of new technology to customize dialysis delivery. This interactive case based workshop will discuss how to apply the technology for dose adjustments, monitoring for adequacy, modality selection and transitions in CRRT. (Claure, Kaushik, Prowle)

C07 Starting, Transitioning and Stopping RRT for AKI: Science and Art (A)
One of the most vexing issues for clinicians is determining when to initiate RRT in critically ill patients, when and how to transition modalities and when it can be stopped. This workshop will use case studies to explore various approaches and establish the principles for clinical decisions for renal support. (Mehta, Bagshaw, Lumertgul)

D08 Managing Patients with Sepsis: Modifying the Course with (ECOS) (C,N,AP)
Septic patients often require ECOS to allow time for recovery. This workshop covers the rationale and strategies for the practical application of extracorporeal support techniques for sepsis. Case studies will be utilized to delineate different options. (Pickkers, Reis, Cantaluppi)

3:30-4:00pm Coffee Break


SESSION I: PATIENT CHARACTERISTICS – continued (CME Available)

4:00-6:00pm
Plenary 2 – MINI-SYMPOSIA

Acute Kidney Injury (AKI): Pathophysiology
Co-Chairs: Samira Bell and Luis Juncos

4:00-4:15 AKI in the Neurocritical Unit – Zaccaria Ricci
4:15-4:30 AKI After Burn injury – Matthieu Legrand
4:30-4:45 AKI in Renal and Non-renal Solid Organ Transplantation – Vincenzo Cantaluppi
4:45-5:00 AKI in the Context of Invasive Management of Heart Disease – Matthew James
5:00-5:15 Arterial and Venous Blood Pressure in Cardiac Surgery Associated AKI – Andrew Shaw
5:15-5:30 Kidney-Ventilator Interactions and Kidney Protective Ventilation – Sean Bagshaw
5:30-6:00 ADQI UPDATE
5:30-5:45 ADQI 29: AKI in Liver Cirrhosis – Mitra Nadim and Akash Deep
5:45-6:00 ADQI 30: Adsorption-based Extracorporeal Therapies – Claudio Ronco and Thiago Reis

6:00pm Adjourn

6:00-8:00pm EXHIBIT RECEPTION AND POSTER SESSION


THURSDAY Morning, March 14, 2024

7:00am-6:00pm Conference Registration Open


MEET THE EXPERT Elective Breakfast Sessions – Group 2 (CME Available)
7:00-8:00am
(choose one)
7:00-8:00am
Session 3 (ME3) – How I Use AKI Biomarkers in My Practice
Alex Zarbock and Stuart Goldstein

7:00-8:00am
Session 4 (ME4) – How do I Manage the Oliguric Patient?
Ashish Khanna and Jean Louis Vincent


7:00-8:00am

MORNING SYMPOSIA(CME Available)
(Seating is LIMITED, selection made during registration, coffee served)

Symposium C – Optimization of the CRRT Program to Improve Outcomes
Ashita Tolwani (Moderators)
Although RRT is commonly applies worldwide there are minimal established criteria for monitoring the quality of care delivered. This symposium will describe the characteristics of top-tier CRRT programs and describe strategies and tools to develop Quality Improvement merging data from CRRT devices and clinical information. The importance of policies, procedures, and dashboards will be discussed.

Establishing Quality Metrics for RRT: Do We Need the EMR? – Manish Kaushik
Team Based Management of CRRT: It Takes a Village – Ian Baldwin
Harnessing Multimodal Data Streams to Improve CRRT Delivery – Oleksa Rewa

Symposium D – Onco Nephrology: Practical Considerations in Managing AKI in Patients with Cancer
Patrick Murray and Michael Zapitelli (Moderators)
The number of anticancer drugs are increasingly expanding and commonly cause kidney injury. This symposium will discuss how to prevent drug nephrotoxicity, doses of anticancer medicines and manage patients who develop AKI in the setting cancer therapy.

Spectrum of Kidney Disorders with Anticancer Drugs – Mitch Rosner
AKI in Setting of Checkpoint Inhibitors – Marlies Ostermann
Monitoring for Drug Nephrotoxicty – Linda Awdishu


SIMULTANEOUS STANDARD WORKSHOPS (CME Available)
Open to all participants – applicable to physicians, nurses and allied personnel
Codes: C= Core workshop, I = Intermediate, A = Advanced, N= Nurses, AP = Nurses & Allied Personnel

Workshop Tracks
A: AKI; B: CRRT Technique; C: Critical Care Topics ; D: Organ Support

8:15-9:45
Standard Workshops – Group 3
(choose one)

A09 Pediatric AKI and RRT: Beyond the Basics (I,N,AP)
This workshop will highlight the epidemiology and best practices for AKI management and CRRT, peritoneal dialysis and tandem therapies application in neonates and children.
(Plomaritas, Zappitelli, Ricci)

B10 Personalized Fluid Management with CRRT (A)
Achieving fluid balance and maintaining plasma composition is key for effective CRRT. This workshop will use case studies to discuss strategies for fluid management in CRRT to achieve patient driven outcomes for fluid, electrolyte and acid base balance. (Murugan, Mehta, Neyra)

C11 Improving Care for Patients After Hospitalization for AKI (A,N, AP)
AKI is a complex disease that requires multidisciplinary interventions however most patients who are hospitalized with an episode of AKI do not have systematic follow up or targeted interventions to improve recovery and mitigate the effects of the disease. This workshop will provide guidance on patient centered approaches to improve the management and outcomes of patients with AKI. (Cerda, Lumlertgul, James)

D12 Managing the Heart Failure Patient with Worsening Renal Function (WRF) (A,N, AP)
Patients with advanced heart failure often develop WRF. It is often difficult to determine which patients can be managed with drug therapy vs requiring RRT. This workshop will describe the practical application and results of different methods to treat heart failure and cardio-renal syndrome including ultrafiltration techniques. (Kazory, Ronco, Chakravarthi)

9:45-10:15am Coffee Break


SESSION II: CONTROVERSIES IN CRITICAL CARE NEPHROLOGY (CME Available)

10:15am-12:30pm
Plenary 3 – MINI-SYMPOSIA
Challenges in ICU Management
Co-Chair: Matthew Legrand and Marlies Ostermann

10:15-10:30 From Fluid Responsiveness to Fluid Overload: Identifying Fluid Intolerance – William Beaubien-Souligny
10:30-10:45 RAAS Biomarkers and Emerging Evidence in Critical Care – Ashish Khanna
10:45-11:00 Health Disparities in the ICU: What are the Next Steps? – Amira Mohamed
11:00-11:15 Learning Health Systems: Do They Exist and Can They Work? – Derek Angus
11:15-11:30 Don’t You Forget About Me: Non-ATN Causes of AKI in the ICU – Mitch Rosner
11:30-11:45 Vascular Access for AKI: Tunneled or non-Tunneled? – Vandana Niyyar
11:45-12:15 SPECIAL LECTURE

San Diego AKI & CRRT Award
Translating Discoveries to Enhance Management in AKI
TBD

12:15-12:30 Top Abstract Awards

 


THURSDAY AFTERNOON

LUNCH SYMPOSIA – (Non-CME)
(Seating is LIMITED, selection made during registration, lunch provided by conference.)
Please note: At this time, these are the only lunch options provided on Thursday.

12:30-2:00pm

T1 Social Determinants of Health (SDoH) and AKI
Despite advances in medical care, racial, ethnic and socioeconomic disparities persist for patients and are increasingly recognized to influence health outcomes. Factors contributing to health disparities are complex and multifactorial and are not well described for patients with AKI. This symposium will discuss the current understanding of the effects of SDoH on the incidence, recognition, management and follow up of patients with AKI and describe approaches for mitigating these factors to improve patient care and outcomes.
Moderators: Amira Mohamed and Rolando Claure-Del Granado

Inequalities in Healthcare and Effects on Kidney Disease – Samira Bell
Health disparities in Pediatric AKI – Mignon McCullouh
Utilizing Technology to Tackle SDoH – Javier Neyra

T2 Seatbelt for the Kidney: Primary Prevention in Different Settings
Although the kidney is remarkably efficient in maintaining homeostasis, it relies on a delicate balance between energy demand and oxygen supply, which varies considerably in different regions of the kidney. Available data indicate that different AKI-inducing events cause anatomically distinct patterns of injury, which are relevant for the refinement of available therapies and the development of novel renoprotective strategies. This symposium will discuss the rationale for and results of novel strategies to protect the kidney in different settings.
Moderators: Vincent Wu and Ron Wald

Drug-induced Kidney Injury – Patrick Murray
Contrast Associated Imaging – Neesh Pannu
Cardiac Surgery – Alex Zarbock

OPTIONAL INDUSTRY LUNCH SYMPOSIA(Non-CME)
I3 Click Here for Details
I4 Click Here for Details


SESSION III: EMERGING CONCEPTS IN AKI AND RRT (CME Available)

2:00-3:45pm
Plenary 4 – MINI-SYMPOSIA
Novel Strategies in AKI Management
Co-Chairs: Danielle Soranno and Patrick Murray

2:00-2:15 Bicarbonate Therapy for AKI. Yes or No? – Lui Forni
2:15-2:30 Application for AKI Early Detection and Prediction Models in Clinical Practice – SeJoong Kim
2:30-2:45 Target Blood Pressure to Prevent AKI: Higher or Normotension? – Nattachai Srisawat
2:45-3:00 The Aging Kidney: An Old Age Problem – Michael Joannidis
3:00-3:15 Clinical Decision Support for AKI: Are We There Yet? – Neesh Pannu
3:15-3:30 Urinary Microscopy to Identify Subclinical AKI – Rolando Claure-Del Granado
3:30-3:45 Waste Not Want Not: The Case for Acute Dialysis – Ravindra Mehta

3:45-4:15 Coffee Break

4:15-6:00pm
Plenary 5 – MINI-SYMPOSIA
Challenges and Controversies in Renal Support and CRRT
Co-Chairs: Kat Gist and Michael Connor

4:15-4:30 To dialyze or Not: That is the Question? – Mitra Nadim
4:30-4:45 Dynamic Phenotyping for Dialysis Delivery in the ICU – Ravindra L Mehta
4:45-5:00 Leveraging Personal Health Platforms for AKI Followup – Rajit Basu
5:00-5:15 Dialysis in AKI: When is a Good Thing Bad? – Kathleen Liu
5:15-5:30 Albumin and Clinical Outcomes in AKI and CRRT – Kianoush Kashani
5:30-6:00 ADQI UPDATE
5:30-5:45 ADQI 31: Endpoints for AKI Trials – Alex Zarbock and Lui Forni
5:45-6:00 ADQI 32: Role of Sex and Gender in AKI (SexXY ADQI) – Danielle Soranno and Marlies Ostermann

6:00 Adjourn – Free Evening


FRIDAY Morning, March 15, 2024

7:00am-1:00pm Conference Registration Open


MEET THE EXPERT – Elective Breakfast Sessions – Group 3 – (CME Available)
7:00-8:00am
(choose one)
7:00-8:00am
Session 5 (ME5) – Deciding who Needs to Start and Stop RRT
Ron Wald and Marlies Ostermann

7:00-8:00am
Session 6 (ME6) – How do I Assess the Volume Status of My Patient?
Kianoush Kashani and Peter Pickkers


7:00-8:00am

MORNING SYMPOSIA(CME Available)
(Seating is LIMITED, selection made during registration, coffee served)

Symposium E – Innovations in Caring for Patients with Electrolyte and Acid Base Problems
Etienne Macedo (Moderator)
Lenar Yessayan and Nuttha Lumertgul (Discussants)
Dysnatremias are commonly encountered in ICU patients and are often difficult to manage. This symposium will cover the pathophysiology of hypo and hypernatremia and discuss the practical issues for management of these disorders with novel agents and describe how RRT can be used for severe disorders.

Symposium F – Optimizing Fluid Management in the ICU: Fit for Purpose?
Michael Connor (Moderator)
Andrew Shaw and Ashish Khanna (Discussants)
Fluid administration is an integral component of management, however there is considerable variation in the type and quantity of fluids used and increasing concern that fluid therapy contributes to AKI. This symposium will review the evidence for our current strategy for using crystalloids, colloids and blood products and provide guidance on best practices to manage patients in different settings.


SESSION IV: IMPROVING OUTCOMES IN AKI (CME Available)

8:00-10:30am
Plenary 6 – MINI-SYMPOSIA
Global Burden of AKI
Co-Chair: Etienne Macedo and Nattachai Srisawat

8:00-8:15 Personalization and Standardization of RRT in the ICU: Lessons from Pediatrics – David Askenazi
8:15-8:30 Education in AKI: What’s Needed? – Jorge Cerda
8:30-8:45 Long-COVID Manifesting as Kidney Disease – Emmanuel Burdmann
8:45-9:00 Quality of Life Post AKI – Marlies Ostermann
9:00-9:15 Nephrology Consultation in the ICU: Who Benefits? – Harin Rhee
9:15-9:30 What Outcomes Matter to Patients and Their Relatives? – Sean Bagshaw
9:30-9:45 Does Treating AKI in Low Resourced Regions Matter? – Mignon McCulloch
9:45-10:00 Variation in Pediatric CKRT Practices Across the Globe – Akash Deep
10:00-10:15 CRRT Net Initiative: Lessons Learned and Applied – Javier Neyra
10:15-10:30 ADQI 33: Obstetric AKI – Rajasekara Chakravarthi

10:30-11:00 Coffee Break


SESSION V: FUTURE TRENDS IN CRRT AND CRITICAL CARE (CME Available)

11:00am-1:00pm
Plenary 7 – MINI-SYMPOSIA
Emerging Strategies in AKI and Extracorporeal Support
Co-Chairs: Vincent Wu and Jorge Cerda

11:00-11:15 Transitions from CRRT to IRRT: Strategies for Success – Ron Wald
11:15-11:30 Reassessing AKD Care and Outcomes: Time to Abandon Conventional Beliefs – Vincent Wu, MD
11:30-12:35 Update from Ongoing and Late Breaking Trials
(8-10 minutes each)

1. The RELIEVE-AKI Trial – Raghavan Murugan
2. The RECOVER AKI Trial – Javier Neyra
3. Dialyzing Wisely Trial – Oleksa Rewa
4. The HERRIC Registry – Vedran Premuzic
5. The RELAX Trial – Christian Nusshag
6. WE-ROCK, the Pediatric RRT Collaborative – Kat Gist
7. The DIAMOND Study – Jay Koyner
8. The SIN-AKI Study – Vincenzo Cantaluppi

12:35-12:55 Critical Care Nephrology: Literature Review – Kianoush Kashani
12:55-1:00 Closing Remarks – Ravindra L. Mehta Chairman
1:00pm Conference Adjourns

Save the Dates!
AKI & CRRT 2024 – March 12-15, 2024