NTUH Yunlin Branch · Division of Nephrology

Critical Care Nephrology

A two-week intensive for nephrology fellows — from the first AKI consult to the last CRRT circuit, built on the evidence that changed practice.

9 lectures 40 minutes each English Fellow level

Primary text: Koyner et al., Handbook of Critical Care Nephrology (2021) · Supplementary: Ronco et al., Critical Care Nephrology, 3rd ed. (2018)

WEEK 1

The failing kidney in the ICU

Definitions · hemodynamics · therapy · diagnostics · sodium
L01

AKI Essentials

KDIGO staging and its limits, the prerenal/intrinsic/postrenal differential, and a first-24-hours consult that never misses.

Koyner Ch 5–7 · KDIGO 2012
L02

Renal Hemodynamics, Shock & ICU Monitoring

Autoregulation, perfusion pressure vs MAP, venous congestion, fluid responsiveness, shock phenotypes and vasopressors.

Koyner Ch 1–2 · Ronco Ch 18–30
L03

Fluids, Vasopressors, Diuretics & Blood Products

Balanced crystalloids, albumin, prevention bundles, the furosemide stress test, transfusion thresholds and ICU nutrition.

Koyner Ch 8–13, 15
L04

Biomarkers, Risk Scores & Imaging

Damage vs function markers, [TIMP-2]·[IGFBP7], AKI subphenotypes, POCUS and VExUS, and contrast-associated AKI.

Koyner Ch 7, 16–18, 44
L05

Sodium Disorders in the ICU

Hyponatremia workup and the 3% bolus rule, overcorrection rescue, hypernatremia math, DI and dialysis disequilibrium.

Koyner Ch 19–20
WEEK 2

Electrolytes, acid–base & extracorporeal therapy

K/Ca/P/Mg · acid–base · KRT I & II
L06

Potassium, Calcium, Phosphorus & Magnesium

The hyperkalemia ladder, ionized calcium, refeeding syndrome, rhabdomyolysis and tumour lysis syndrome.

Koyner Ch 21–24, 49–50
L07

Acid–Base Disorders & DKA

Reading a gas in 60 seconds, anion and osmolal gaps, Stewart, lactic acidosis, RTA, DKA/HHS and toxic alcohols.

Koyner Ch 25, 27, 37
L08

KRT I — Access, Modalities & Timing

Catheter choice and care, CRRT vs IHD vs PD, and what ELAIN/AKIKI/IDEAL-ICU/STARRT-AKI actually showed.

Koyner Ch 29, 31–32, 56
L09

KRT II — Dose, Anticoagulation, Complications & Recovery

Effluent dose, regional citrate, circuit and patient complications, drug dosing, blood purification and post-AKI care.

Koyner Ch 26, 28, 30, 33–35, 51
DOCS

Course materials

Curriculum

Full syllabus — chapter mapping, learning arc and self-study reading.

Deck template

lecture_template.html — the block patterns and classes every deck uses.

Source notes

Koyner Ch 1–56 · Ronco Ch 1–229 text extracts.

Governance

Agent rules · Workflow · Status · Log

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