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Related Concept Videos

Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

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Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
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Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

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Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
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Chronic Kidney Disease IV: Nursing Management01:18

Chronic Kidney Disease IV: Nursing Management

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Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care​.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
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Acute Kidney Injury VI: Nursing Management01:22

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Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
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Continuous Renal Replacement Therapy01:30

Continuous Renal Replacement Therapy

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Continuous Renal Replacement Therapy, also known as CRRT, is a procedural treatment for acute kidney injury (AKI) that gradually removes uremic toxins and fluids while maintaining acid-base balance and stabilizing electrolytes. It is particularly useful for hemodynamically unstable patients. Unlike intermittent hemodialysis, which is faster, CRRT provides a gentler approach over 24 hours, closely mimicking the function of natural kidneys. However, CRRT is not ideal for patients with...
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Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

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Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
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Related Experiment Video

Updated: Jan 14, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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Critical care nephrology: opportunities for implementing green practices.

Alejandra Molano-Triviño1, Lilia Maria Rizo-Topete2, Eduardo Zúñiga1

  • 1Department of Nephrology, Fundacion Cardioinfantil La Cardio, Bogotá, Colombia.

Frontiers in Medicine
|October 17, 2025
PubMed
Summary

Critical care nephrology in intensive care units (ICUs) significantly impacts the environment through resource use and waste. Developing sustainable strategies, potentially using artificial intelligence (AI), is crucial for reducing the ecological footprint of kidney care.

Keywords:
critical caredialysisgreen nephrologyplasticwater waste

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Area of Science:

  • Environmental Science
  • Nephrology
  • Healthcare Sustainability

Background:

  • Healthcare systems contribute significantly to global greenhouse gas emissions.
  • Intensive care units (ICUs) are highly resource-intensive areas within hospitals.
  • Critical care nephrology manages acute kidney injury (AKI) and renal replacement therapies (RRT) in ICUs.

Purpose of the Study:

  • To explore the environmental challenges posed by nephrology practice in ICUs.
  • To identify gaps in current sustainability strategies for critical care nephrology.
  • To propose opportunities, including AI, for promoting sustainable kidney care.

Main Methods:

  • Review of environmental impacts associated with nephrology interventions in ICUs.
  • Analysis of resource consumption (water, energy) and waste generation.
  • Exploration of existing "Green Nephrology" initiatives and their applicability to critical care.

Main Results:

  • Nephrology interventions in ICUs, including hemodialysis and CRRT, have substantial environmental costs.
  • Significant water consumption and medical waste are generated during RRT.
  • Structured sustainability strategies for critical care nephrology are underdeveloped compared to chronic dialysis.

Conclusions:

  • There is an urgent need for sustainable practices in critical care nephrology.
  • Artificial intelligence (AI) presents a potential opportunity to enhance sustainability in ICU nephrology.
  • Integrating environmental considerations into high-quality kidney care is essential for critically ill patients.