What’s the kuf of a coffee paper filter?
What’s the kuf or UF coefficient?
I’m an amateur in extracorporeal tec but I’m a self proclaimed expert in coffee process and preparation.
So lets answer this absolutely irrelevant question
#nephtwitter
#coffee
#tweetorial
Primera ECCO2R en México 🇲🇽
Montada y prescrita por el área de Nefrologia Critica del Hospital General de México
Paciente con ARDS lesion renal aguda y retención de CO2
Una herramienta más en el soporte multi-orgánico
@buddhafactor
@rafavaldeznefro
#prismalung
#ecco2r
Special Issue: Advances in dialysis
Our review with
@javo_neyra
Continuous Renal Replacement Therapy: What Have We Learned And What Are Key Milestones For The Years
To Come?
#CRRT
#Dialysis
#AKI
Portable ultrasounds are getting real
#VExUS
is now possible with the new update of
@ButterflyNetInc
🦋 by adding pulsed doppler to cardiac mode
Good quality images and great PW images
🧵Images
Special Issue
Advances in dialysis:
1. Membranes & sorbents
2. Medium cut-off membranes
3. HD in latin America
4. AI & personalized HD
5. Remote monitoring PD
6. PD & AKI
7. Hybrid therapies & AKI
8. CRRT
9. Adsorptive therapies
1/2
@Noemi_nefro
@OlynkaV
@AlfredoUlloaAg1
1/ 14 years old boy👦 presents with generalized purpuric lesions & GI bleeding. Nephrology was consulted for gross hematuria, 2gr/day proteinuria & normal GFR
#ecatepians
Therapeutic plasma exchange using a bellco microplas MPS 0.3 and a conventional HD machine.
Efficient, fast, safe and low-cost
@Medtronic
@chayilu7
#ecatepians
Día cualquiera en servicio de nefro CMIE
-biopsia renal 👧10 años
-Recambio plasmático x RAMA
-TRRC en paciente séptico
-Cateter DP percutaneo x uremia
Solo
@chayilu7
su servilleta y nuestros rotantes de MI
@Cees_Cr
r2 y
@Gimed06
r1
Pero les da miedo Ecatepec 😈
1/ Male ESKD with APD, comes to clinic with abdominal pain & PD effluent WCC 100 mcl & 80% PMN
The effluent looks fluorescent green ❇️❇️❇️❇️👇
¿Whats the cause ?
#ecatepians
#PD
#peritonitis
High volume
#PD
in critical ill patient with
#AKI
-Total Vol per tx: 12 L
-⏰: per tx: 8hrs
-Cycle volume: 1.5 L
-1.5% dextrose + 24 meq of K
-3 tx per day
⬇️
- 8 cycles per tx
-24 cycles day
-indwell time: 40 min
⬇️
25% saturation of 36 L
KT/V= 0.3 per day
#ecatepians
Kidney Cell Cycle Arrest and Cardiac Biomarkers and Acute Kidney Injury Following Angiography: The Prevention of Serious Adverse Events Following Angiography (PRESERVE) Study
#VisualAbstract
@deniise_am
1/ 56 year male with Guillain Barre syndrome,
#TPE
was performed with 1.5 x plasma volume.
Plasma looks like this 👇
What’s the cause?
#ecatepians
#PLEX
Today my partner in crime got his PhD on biomedical science. Every body got schooled on metabolism and branched chain aminoacids. She is an awesome mom, wife and first class scientist, I don’t know how I got so lucky 😍
#PhD
#girlpower
#metabolism
#partnerincrime
Check the new version of ADEQUATOR in a new web app format:
💥Better simplified format
💥New calculators
- Solute prediction after HD
- CRRT prescription with effluent saturation calculation
- Regional citrate anticoagulation
- Sodium during CRRT
El BUN/Cr excelente marcador de viabilidad tubular, siempre drásticamente bajo en las NTI
Felicidades por demostrarlo
@RenalZac
@JonathanNefro
@ENefros
Encontramos que el radio BUN/creatinina <12 se asocia con buena certeza (AUC 0.73) con el diagnóstico histológico de nefritis intersticial aguda, ↑14 veces la probabilidad.
Gran trabajo de
@RenalZac
Encuéntralo gratis👇🏼
BMC Nephrology 2023
Conclusions:
✅Dialysis and coffee brewing are similar processes
✅
#4
paper coffee filters has a Kuf of 2.3 ml/sec/mmHg or 8280 ml/hr/mmHg
✅If you got up to here you have a completely useless fact and maybe you got the Kuf concept clearer
What’s Kuf of other filters?
Todo un éxito el primer Taller de Ecografía en Nefrología Clínica e Intervencionismo organizado por
@SLANH_
y
@ASARUC1
Con asistentes de toda Latinoamérica. Una experiencia inolvidable en la mágica ciudad de Cartagena, aprendiendo de grandes y haciendo nuevos amigos
Today
@adequator_app
with some help of TRUE CALCIUM got to > 1000 downloads
This is awesome since its a medical app, intended for a very selected group of physicians & with a great deal of technical aspects
Med apps are not common & 90% of the ones available are for patients
¿Cuál es el tema más difícil en Nefrología y por qué es la nefropatia Lupica?
Este podcast con el super expertazo
@Meyaix
esta fuera de serie, lo hace ver super facil. Felicidades
@JonathanNefro
y
@RenalZac
Elastic Bandage in diuretic resistance 🤯 better UOP than albumin co-administration
⚡️25$ vs 100ds $
⚡️Ideal context HF
Easy and inexpensive strategy to add to the diuretic resistance repertoire
#AKICRRT20
Población de alto riesgo para síndrome de desequilibrio dialítico que reciben 1a sesión de HD.
- Incidencia de SDD 3% (leves)
-Excelente rendimiento para predicción de BUN,K y Na previo a realizar la sesión con
@adequator_app
Felicidades Romel
@IMINmx
@Issemym
@chayilu7
Here comes the plasma
#TPE
Neuromyelitis optica (Acute attack)
ASFA Category II
Nephrology (extracorporeal department) takes care of the treatment
#ecatepians
#ecatepec
Today I woke up and realized I had homework assigned by
@ArgaizR
He asked me to complement his thread about the recent NEJM case, regarding the CRRT approach. Why me? 🤷🏻♂️ who knows
but I always turn in my homework, so here it is ——-thread 🧵
#CRRT
#COVID19
#AKI
This patient was actually given 2 L IV fluid with no improvement on kidney function. Eventually required RRT with CRRT. Given I know nothing about CRRT, I hope my good friend
@galindozip
can complement this thread with his awesome knowledge!
“The Kidney Syndromes”
this is how I cheated on clinical-pathological sessions during my fellow. Excellent for integration and differential 👌🏻
Visual box was substantially improved from the original by
@Nephro_Sparks
AFTER
1.5 years with the idea
1 year programing
6 months validating results
3 months of beta testing
1 month with Appstore giving us a hard time
And 1 million bugs
Finally we released it
Enjoy
Very Proud to announce the release of
ADEQUATOR
The Adequacy Calculator
CRRT INTERMITTENT PLEX
The best app in the business and completely FREE
#adequacy
#CRRT
#nephrology
#medicalapp
✅ Iniciamos en Junio
✅ Limitado a 30 lugares
✅Alta exigencia académica
✅Requiere conocimientos avanzados de TRR (Nefrologos y R3 Nefrologia)
✅Se realizará preselección
Enviar documentos hasta el 15 de mayo a: contacto
@diplomadotrrc
.com
Resultados el 17 de Mayo
🚨Plaza de Nefro ISSEMYM Ecatepec 🤟🏻en la tarde 6 horas. Se está armando un proyecto interesante. Se puede ejercer la nefrologia en su plenitud. Buscamos gente académica y con ganas.
42 year male 110 kg, COVID-19 neumonia on the ICU. Cunsulted for AKI
- fever, high dose vasopresor, event of sustained hypotension, hemoglobin ⬇️ 4 grams
- Cr 0.65–> 1.9 -> 4 mg/dl
- + 5 L balance, BNP 19, CVP 15mmhg
- No POCUS
-
#spintheurine
¿Quieren una comunidad para hacer contenido de redes sociales en nefrología?: visuals, podcasts, journal club, tutorials, etc
Esta es una excelente iniciativa, altamente recomendado
⚡️Applications are now open!!⚡️
🎊Be a part of a vibrant community where you can enhance your knowledge in nephrology, develop social media skills, and contribute in shaping the future of nephrology education and outreach.🎉
100% de acuerdo, pero hay que reconocer que somos pocos nefrólogos interesados en px críticos y TRR. Esta controversia ha nacido de la necesidad de los intensivistas de tratar a sus pacientes. Tenemos que educar y generar interés en las nuevas generaciones 🤛
Exactamente la
#TRR
en todas sus modalidades
#HDI
#PIRRT
#CRRT
#DP
deben de ser manejadas por los
#Nefr
ólogos las
#Nefr
ólogas como parte de un equipo multidisciplinario no 👎🏻 por los intensivistas
📌 Acompáñanos en “Lanzamiento Manual de Terapias de Reemplazo Renal Continua” por la Dra. Olynka Vega 🇲🇽 y el Dr. Rolando Claure 🇧🇴 . Moderadores: Dr. Ricardo Correa Rotter 🇲🇽 y el Dr. Vicente Sánchez Polo 🇬🇹.
🗓Viernes 1 de julio
⏰ 7:00 pm 🇵🇦
Fatiga pre y post hemodiálisis:
-La reportan 60-80% de pacientes
-Tiempo de recuperación: 4h⏱
-⬆️ riesgo 3% hospitalización y 5% mortalidad ☠️ por hora
Hipótesis:
-Liberacion de citocinas
-Disrupción del eje hipotalamo-hipofisiario
-Cambios en ultrafiltrado u osmolaridad 💧
TO THE FUTURE GENERATIONS
The Ayoloco glacier existed here and receded until it disappear
In the coming decades, the Mexican glaciers will irretrievably disappear
This plaque is to record that we knew what was happening and what needed to be done
Only you will know if we did
@OrlandoRPN
#Pocus
+ Sedimento + Reto de furo
La triada perfecta para detectar, prevenir y tratar lesiones renales agudas
prevenir y tratar la causa
#Nomasbiomarcadores
"4to. FORO DE ACTUALIZACIÓN EN SALUD RENAL y 1ra. REUNION ACADÉMICA REGIONAL DEL CNM, AC. 2023"
Iniciamos a las 17:00 pm
LINK DE INGRESO A LA PLATAFORMA OFICIAL:
Aún puedes inscribirte
LINK DE REGISTRO:
Los esperamos en la 2a Ed. el Workshop Hands-on de Nefrología Intervencionista.
Dos modalidades:
✅ Curso básico
☑️ Curso avanzado
🏥: Hospital Civil de Guadalajara
🗓️: Viernes 4 y Sábado 5 de Octubre, 2024
Inscripciones:
#NefroIntervencionMX
Male 57 years old, 97kg, SARS-coV 2 pneumonia. doing well until event of fever, WBC⬆️ and sustained hypotension. Tx:
-1000 ml of RL, High dose NE & VP
-Antibiotics ⬆️
I was consulted for AKI
Cr 0.7 -0.9- 1.3- 1.9
UO 10-20ml/hr for 12 hours
@khaycock2
@ThinkingCC
@ArgaizR
Bicarb: so bad in 2019?
- BICAR ICU: bicar infusión is an option
- Continues HD: improvement of pH without increasing PaCO2 (hypercapnic animals) P. Honore
#37vicenzacourse
#CRRT
Segundo día! Lesión renal aguda con el maestro
@galindozip
. Broncoscopia, síndrome de cushing. TEP.
Importantísimo LES con la Dra
@luccyferpeutz
Talleres 🦠🦠 imperdible: interpretación de antibiograma.
CÓDIGO MATER 🤰🏻
@ChbetoH
@NephroMD
@HecmagsMD
Awesome, some time ago I did these slides showing the effect of giving 1 Lt cristraloid on urine volume, using different fixed urinary osmolarities
-C. Ronco
@croncoIRRIV
We know the guidelines, when do YOU start?
- R.Mehta: There is a misconception of “early vs late start of RRT” Early may be late for one patient and late may be early for another patient. “BE TIMELY”
#37vicenzacourse
#AKI
#CRRT
This graphic is incredible my personal favorite points are:
-Water loss (dehydration) afects tonicity and not perfusion
-Perfusion has a conection with CNS & posterior pituitary (this is the cause for almost all hyponatremias)