Nephrologists Transforming Dialysis Safety

Welcome to the Nephrologists Transforming Dialysis Safety ASN Community Website.  You will need to Sign In to access the Community discussions and resources.

  • If you have an user name and password, select  the "Sign In" button in the top right corner of this page. 
  • If you do not have a free user name and password, you can get one from  Once you have your free registration, you will be redirected to this site and you can Sign In with your new user name and password.  

Latest Discussion Posts

Please login to see all eligible discussion postings

Either the content you're seeking doesn't exist or it requires proper authentication before viewing.

Community Minded

Is the time right for CRRT, and who should provide it?
A 42-y/o man is emergently cannulated for VV ECMO for ARDS and develops oliguria. His labs after several hours reveal a BUN of 32 mg/dL and creatinine of 0.9 mg/dL. On a flow of ~ 5 L/min and 100% oxygen his pH is 7.35 and lactate is 1.8. He has made only 20 ml/hr of urine output over 5 hours. There is minimal improvement with a diuretic challenge and the patient is already 3 liters positive in fluid balance. Is it time to start him on CRRT? Should it be started now by the intensivist or can it wait until tomorrow when the nephrologist arrives. What is the evidence for starting RRT early and should this be a procedure provided exclusively by nephrologists? Read the discussion and let us know what you would have done.  
Summary provided by Rajit Basu, MD, MS

Previous Community Minded Summaries are available at: