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Updated: May 28, 2026

A Large Animal Model for Acute Kidney Injury by Temporary Bilateral Renal Artery Occlusion
Published on: February 2, 2021
Teaching and training acute renal replacement therapy in children
Jesús López-Herce1, Luis Ferrero, Santiago Mencía
1Paediatric Intensive Care Service, Hospital General Universitario Gregorio Marañón, Universidad Complutense, Madrid, Spain. pielvi@hotmail.com
Paediatric acute renal replacement therapy (ARRT) education courses effectively improved knowledge and skills. Combining lectures, hands-on training, and simulation significantly enhanced learning outcomes for critical care procedures.
Area of Science:
- Pediatric Nephrology
- Medical Education
- Critical Care Medicine
Background:
- Paediatric acute renal replacement therapy (ARRT) requires specialized training.
- Initial experiences with ARRT education courses are analyzed.
Purpose of the Study:
- To describe and analyze the initial experience with paediatric acute renal replacement therapy (ARRT) education.
- To evaluate the effectiveness of specific ARRT training courses.
Main Methods:
- Three paediatric ARRT courses were conducted.
- Included multiple-choice question (MCQ) exams, lectures, and practical workshops (in vitro peritoneal dialysis (PD), continuous renal replacement therapy (CRRT) machines, animal models, simulation).
- Anonymous surveys assessed perceived course value.
Main Results:
- Significant improvement in MCQ scores from 11% to 90.5% (P < 0.001).
- All students demonstrated sufficient practical skill acquisition.
- High ratings for course methodology (9.3), organization (9.9), and teaching staff (9.6).
Conclusions:
- Specifically designed CRRT and PD courses effectively teach theoretical aspects and practical training.
- A combination of laboratory work, animal training, and advanced simulation enhances learning synergistically.
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Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
