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Nephrology Jrnl Club
A twice monthly nephrology journal club that meets on Twitter. Hashtag
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Nephrology Jrnl Club Aug 9
Replying to @Nephro_Sparks
Twitter chat > podcast
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Nephrology Jrnl Club Aug 9
Don’t let the podcast get all the love, please come to one of our journal club chats!
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John Prowle Aug 5
Replying to @RidingAlex @NephJC
One would assume a conservative approach if Ok for the very sick will also be OK for the less sick
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John Prowle Aug 5
Replying to @NephJC
The begs the question what level of conventional criteria (K, Urea, duration of oliguria) are appropriate
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Nephrology Jrnl Club Aug 5
Many thanks for joining us, really interesting insights
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Nephrology Jrnl Club Aug 5
I would like to thank and for the VAs, script, summary and overall collaboration for this
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Tom Oates Aug 5
Replying to @NephJC
It's a great, pragmatic study that mirrors what people do day in day out Great to see it completed and published
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John Prowle Aug 5
Replying to @NephJC
My take : Overall this study shows very importantly that KDIGO AKI in isolation are not necessary nor sufficient criteria for the commencement of KRT in the ICU, which is undoubtedly invasive and costly
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John Prowle Aug 5
Replying to @NephJC
They might - but they can't call it RRT (or KRT) they would be proposing a novel therapeutic blood purification requiring its own evidence base
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Nephrology Jrnl Club Aug 5
T3H: Any other final thoughts on paper and results?
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Ron Wald Aug 5
Replying to @AyanfeObilana @NephJC
You are reading it correctly. Trend to more RRT-free days in standard arm as you would expect but if a patient dies, and this was unfortunately common in the trial, assigned automatic score of 0.
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Alex Riding Aug 5
Replying to @NephJC
Resolute. You can do both harm and good with RRT and its associated procedures. Adverse events v important to weigh up from this study too.
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Nephrology Jrnl Club retweeted
John Prowle Aug 5
There are some nice phosphate containing CRRT solutions - work well with regional citrate a/c
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Nephrology Jrnl Club Aug 5
Replying to @piezoelectricky
I was being devil's advocate to generate discussion not denigrating to anyone. Sorry if it came across like that.
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Nephrology Jrnl Club Aug 5
T3G: Here's a super helpful summary table to get your head around these trials from
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Nephrology Jrnl Club Aug 5
Replying to @AbaRenua
When I get a consult for severe AKI UO is typically the first question I ask as I feel most predictive
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Nephrology Jrnl Club Aug 5
T3F: Will you be resolute in watching and waiting for RRT? Are there always patients you know who benefit from early commencement?
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Dr Maryam Khosravi Aug 5
Replying to @NephJC
we see this a lot on ICU with even more vicious circle of replacement on filtration
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Clara Day Aug 5
Replying to @NephJC
Um. Equipoise in that no difference in mortality. But fewer complications and much less resource usage. this is surely really important
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Nephrology Jrnl Club Aug 5
Replying to @piezoelectricky
I have heard of this early path study that showed different crops of ATN in people dialysed for AKI but never found the reference. Anyone out there know?
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