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ASN leads the fight to prevent, treat, and cure kidney diseases throughout the world by educating health professionals and scientists, advancing research and innovation, communicating new knowledge, and advocating for the highest quality care for patients.

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Kidney Week

Clinical Practice Session

Quality Metrics in CRRT: Beyond Timing and Dose, Including the Burton D. Rose, MD, Endowed Lectureship

October 22, 2020 | 10:00 AM - 12:00 PM

Location: On-Demand

Session Description

CRRT use in critically ill patients with AKI is increasing. However, there are large practice variations in its application, and most quality metrics are limited to therapy initiation, dose delivery, and filtration duration. Development and evaluation of other quality metrics that measure CRRT delivery and the essential associated care have been suboptimal. This session examines alternative quality metrics that can potentially affect outcomes and thus provide guidance for the implementation of a comprehensive program for monitoring quality.

ASN gratefully acknowledges Wolters Kluwer (publisher of UpToDate), the Beth Israel Deaconess Medical Center Department of Medicine Foundation, the Rose Family, and several of Dr. Rose's colleagues for supporting this lectureship.

Learning Objective(s)

  • Specify the key considerations for implementing, monitoring, and optimizing CRRT delivery
  • Examine the relation of novel clinical parameters (prescribed versus achieved fluid removal and incident hypophosphatemia) with outcomes in critically ill patients on CRRT
  • Describe strategies used to correct electrolyte management with CRRT and how to prevent CRRT from contributing to electrolyte abnormalities
  • Discuss the pharmacology principles that guide modern strategies for dosing medications on CRRT
  • Explain the importance of providing appropriate nutrition and vitamin and micronutrient supplementation

Learning Pathway(s)

  • Acute Kidney Injury


  • Kathleen D. Liu, MD, PhD, FASN
  • Dan Negoianu, MD


  • Bridging the Gap Between the Prescription and Delivery of CRRT
    10:00 AM - 10:30 AM
    Nithin Karakala, MD, FASN
  • Novel Parameters of CRRT Deliverables: Fluid Removal, Phosphate, and Quality Improvement Metrics
    10:30 AM - 11:00 AM
    Javier A. Neyra, MD, MS, FASN
  • Managing Electrolyte Abnormalities on CRRT: The Burton D. Rose, MD, Endowed Lectureship
    11:00 AM - 11:30 AM
    Ashita J. Tolwani, MD, MS
  • Returning What We Steal: Nutrition, Vitamins, and Micronutrients in CRRT
    11:30 AM - 12:00 PM
    Erin F. Barreto, PharmD, MS, FASN