- 84.4k views
Management of Acute Kidney Failure
Managing acute kidney failure, also known as acute kidney injury (AKI), is a critical medical intervention that requires prompt diagnosis and treatment. Rapidly identify the signs and symptoms of AKI, including decreased urine output, fluid retention, and elevated creatinine and blood urea nitrogen (BUN) levels. Determine and address the underlying cause of AKI, which can include dehydration, infections, medication toxicity, or underlying medical conditions. Carefully manage fluid balance, as both dehydration and fluid overload can worsen AKI. Tailor fluid administration to the patient's needs. Diuretics may be used cautiously to manage fluid overload, but their use should be monitored closely. Review and adjust medications, especially nephrotoxic drugs, which can exacerbate kidney injury. Monitor and correct electrolyte imbalances, such as hyperkalemia or hyponatremia, which can occur in AKI. Consider renal replacement therapy (hemodialysis or peritoneal dialysis) in severe cases to remove waste products and excess fluids from the bloodstream.
About the Speaker

Dr Atchyuth R Gongada
HoD and Sr Consultant Dept of Critical Care and Anaesthesiology Apollo Hospitals, Health city, Visakhapatnam
Dr Atchyuth R Gongada MD FRCA is HoD and Sr Consultant in Dept of Critical Care and Anaesthesiology at Apollo Hospitals, Healtcity, Visakhapatnam. Dr Atchyuth has worked with great people in the field of Anesthesia and intensive care like Dr. Anna Batchelor, Prof. David K.Menon (Founder of Neuro Critical Care Unit, Cambridge). Prof. Arum K.Gupta (Professor of Anaesthesia, Addenbrookes Hospital, Cambridge). Dr. Ian. F.Russell. His specialities are Anesthesiology and Critical Care.
Upcoming Case Discussions
Endometriosis- Updates
Endometriosis is a chronic gynecological condition where endometrial-like tissue grows outside the uterus, causing pelvic pain, dysmenorrhea, dyspareunia, and infertility. The ectopic tissue responds to hormonal changes, leading to inflammation, adhesions, and scarring. Diagnosis is based on clinical symptoms, imaging (ultrasound, MRI), and confirmed by laparoscopy with biopsy. Treatment includes NSAIDs, hormonal therapy (OCPs, progestins, GnRH analogs), and surgical excision for severe cases. Fertility treatments like IVF may be needed. While not curable, early diagnosis and management can relieve symptoms and improve quality of life.
Case-Based Approach to Managing GI Malignancies
A Case-Based Approach to managing gastrointestinal (GI) malignancies involves applying a personalized, patient-centered strategy using specific case details to guide treatment decisions. It emphasizes a multidisciplinary team approach, where oncologists, surgeons, pathologists, and radiologists collaborate to determine the best course of action based on tumor type, stage, and patient factors. This method allows for tailored treatment plans, integrating surgery, chemotherapy, radiotherapy, and targeted therapies to optimize outcomes. By discussing individual cases, this approach also aids in identifying potential challenges and refining management protocols to improve patient care.
Acne: Disorders and Treatment Approaches
Acne is a common dermatological condition caused by clogged pores, excess sebum production, bacterial growth, and inflammation. It can manifest as blackheads, whiteheads, papules, pustules, or cysts, often leading to scarring if untreated. Various factors, including hormonal changes, diet, stress, and genetics, influence its severity. Treatment approaches range from topical and oral medications, such as retinoids, antibiotics, and hormonal therapy, to advanced procedures like chemical peels and laser therapy. A personalized skincare regimen, along with lifestyle modifications, plays a crucial role in managing and preventing acne.
Cardiac Rehabilitation
Cardiac rehabilitation is a structured program designed to improve cardiovascular health after heart-related conditions such as heart attacks, heart failure, or surgeries like bypass or stenting. It includes supervised exercise, heart-healthy lifestyle education, nutrition counseling, stress management, and medication guidance. The goal is to enhance heart function, reduce the risk of future heart problems, and improve overall well-being. A multidisciplinary team, including doctors, physiotherapists, and dietitians, tailors the program to each patient’s needs. Regular participation in cardiac rehab lowers mortality rates, prevents hospital readmissions, and promotes long-term cardiovascular health, making it an essential part of heart disease recovery.
Role of Telemedicine in Modern Healthcare
Telemedicine plays a crucial role in modern healthcare by enabling remote consultations, reducing the need for in-person visits, and improving access to medical expertise. It enhances patient care through real-time diagnosis, chronic disease management, and mental health support. By integrating AI and digital health technologies, telemedicine streamlines workflows and optimizes healthcare delivery. It is especially beneficial in rural and underserved areas, bridging gaps in specialist care. As technology advances, telemedicine continues to revolutionize healthcare, making it more efficient, accessible, and patient-centered.