@medupdateeurope #nephroeurope19 great meeting @AbaRenua @TaniAbedin @Profcpusey UK π¬π§ poorly represented - lots of reasons why but in #holland 2020 #DenHaag #accessible & #Live #streaming so could watch at home #winningatlife @ScottishRenal @RenalAssoc @ERAEDTA @ynptweets
@medupdateeurope @UKSepsisTrust @sepsis_kills @SepsisAlliance Decent BP protects against #AKI aim for #MAP close to pre-admission #MAP Use #crystalloids as fluid of choice #survivingsepsis ππππ#nephroeurope19 @SamiraBell76 @iangarethreeves @cathstirling
#patrickmurray & #AKI @medupdateeurope Furosemide stress test. Quick, easy, cheap probably inadvertently do it in AKI often anyway π less than 200ml urine over 2 hours post test = bad #nephroeurope19
To biopsy or not? #protocol #biopsies Does your unit do them? @RainerOberbauer & #christophelegendre say we should & treat borderline rejection if present ππ» @medupdateeurope #nephroeurope19 @ParisTxGroup @ImperialTxGroup @ERAEDTA @ESOTtransplant @geddescc @NealPadmanabhan
Should we do ABOi #transplant @RainerOberbauer @medupdateeurope it is cost effective compared with staying in #dialysis. Better still would be entering the NKSS (UK) or local equivalent #nephroeurope19
@RainerOberbauer @medupdateeurope @Sok_Stoumpos1 donor organ preconditioning. #machine #perfusion seems better than cold storageπReduced #DGF normothermic or hypothermic best though? We donβt know ππ»π€#nephroeurope19
How do we use more advanced info? Not to preclude transplant but to tailor #immunosuppression #transplant @medupdateeurope @RainerOberbauer #nephroeurope19
Even a 0 MM still graft loss over time. HLA not the whole story Why?π€
1. 0MM does not equal 0MM
2. Non HLA alloimmunity
3. Autoimmunity
@RainerOberbauer @medupdateeurope #nephroeurope19
@ecorneclegall New trials in #apkd including #metformin v #tolvaptan #metropolis study #diabetes #drugs might change the game once again for #nephrologists @P_Rossing @drjamesboyle @ga_mckay @medupdateeurope #nephroeurope19
No #apkd talk complete without mention of #tolvaptan @ecorneclegall @ynptweets @ERAEDTA @medupdateeurope #nephroeurope19
Newer #apkd mutation. Cysts might not appear until late on eg 40 years+ important eg for live donor work up. @geddescc @rkpatel01 @ecorneclegall @ynptweets @ERAEDTA @medupdateeurope #nephroeurope19
Diagnosing #APKD Bilateral cysts are not always #APKD even if FHx @ecorneclegall @medupdateeurope #nephroeurope19 @ERAEDTA @ynptweets
@ynptweets @ERAEDTA itβs @ecorneclegall up next #APKD #nephroeurope19 #womeninnephro #WomenInMedicine
#nephroeurope19 @P_Rossing
@P_Rossing #nephroeurope19 @medupdateeurope talks pathophysiology of #diabetes & #CKD #endocrinologist visits #nephrologists
Not just poor glucose control #inflammatory signature is important.
#TNF
#nephroeurope19 including more womenππ» @ecorneclegall @andevriese Viktorija Kuzema Liliana Tuta Romana Rysava Small steps In interests of equality @ERAEDTA @IvanRychlik here 2π@womeninnephro @500WIM @WomenInMedicine #manels #womanels @AnnetteBruchfe1 @PepaSolerR @carminezoccali
#nephroeurope19 Donβt know right from left @Profcpusey and canβt get the right # πππ