Clinical Practice Session
Dialysis De-Escalation in Dialysis-Requiring AKI: From CKRT Weaning to Conservative Recovery Strategies
October 24, 2026 | 10:30 AM - 12:30 PM
Location: Four Seasons Ballroom 1, Convention Center
Session Description
Recovery from dialysis-requiring AKI (AKI-D) requires careful decisions about when and how to step down kidney replacement therapy. However, clinicians often lack clear guidance on transitioning patients from CKRT to intermittent dialysis or safely discontinuing therapy as kidney function recovers. This session focuses on practical approaches to dialysis de-escalation, including clinical criteria for transitioning dialysis modalities, emerging evidence on conservative dialysis strategies, and bedside indicators of kidney recovery. Strategies for coordinating safe transitions from inpatient dialysis to outpatient monitoring or discontinuation of therapy are also discussed.
Learning Objective(s)
- Identify clinical criteria for transitioning from CKRT to intermittent dialysis during recovery from AKI-D
- Analyze emerging evidence, including findings from the LIBERATE-D trial, to inform conservative dialysis prescribing and de-escalation strategies
- Discuss clinical and laboratory indicators of kidney recovery that may support decisions about dialysis discontinuation
- Develop safe inpatient-to-outpatient transition plans for patients recovering from AKI-D, including monitoring after dialysis cessation
Learning Pathway(s)
- AKI and Critical Care
- Dialysis
Moderators
Presentations
- CKRT Weaning and Transition to Intermittent Hemodialysis: When and How to Step Down
10:30 AM - 11:00 AM
- Less Is More: Applying LIBERATE-D to Reduce Dialysis Burden and Promote Recovery
11:00 AM - 11:30 AM
- Are We There Yet? Physiologic and Biomarker Clues to AKI-D Recovery Readiness
11:30 AM - 12:00 PM
- The Final Handoff: From Inpatient Dialysis to Recovery or Outpatient Management
12:00 PM - 12:30 PM