Which doctor should take the initiative in acute blood purification, intensivist or nephrologist？

Abstract

We had a Pros＆Cons themed who should have an initiative to decide the therapy, Intensivist or Nephrologist？ Nephrologists have advantages. They know method of treatment, principals of method and meaning of Kt/Vurea. On the other hand, Intensivists have other advantages. Primary causes of AKI are sepsis and operation. Major factor to affect patient death is not serum creatinine but SOFA or APACHEⅡ. So whole-body management is preferred to kidney itself. No superiority was decided between both opinions. Almost all audiences agreed to make up a team consist with intensivist, nephrologist, attending physician, clinical engineer, nurse, physiotherapist and pharmacist to have a best practice.