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During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
Continuous renal replacement therapy (CRRT) is essential for managing critically ill patients with acute kidney injury and hemodynamic instability. However, in developing countries such as Mexico, its implementation faces significant economic, logistical, and training barriers. These limitations affect both the quality of patient care and the training of future nephrologists. This study aimed to describe the availability and utilization of CRRT in nephrology training centers across Mexico, evaluate its influence on medical education, and identify opportunities to improve access and training quality.
We conducted a multicenter, cross-sectional survey involving 27 hospitals with accredited nephrology residency programs. Structured questionnaires were administered to program directors to collect information on infrastructure, CRRT availability, therapeutic modalities, training approaches, and perceptions of clinical and educational impact.
All participating institutions were public hospitals, with a median of six fellows per year. CRRT was available in 81.5% (n = 22) of centers. Among those without CRRT, the main barriers were lack of equipment (100%), high cost (40%), and shortage of trained personnel (20%). In institutions offering CRRT, 60% performed between 5 and 10 sessions per month, and 48% had more than three machines available. Heparin was the most frequently used anticoagulant (50%), whereas only 13.6% had access to regional citrate anticoagulation, mainly limited by cost and lack of supplies or protocols. Baxter equipment predominated (95.5%). In 82% of hospitals, CRRT prescriptions were primarily managed by the nephrology department.
Regarding quality monitoring, only 41% had a formal evaluation program, although 86% reported tracking complications, 80.5% monitored circuit lifespan, and 77.5% compared delivered versus prescribed doses. Training in CRRT was formally included in the academic curriculum of 89% of centers, but its frequency and depth varied widely. While 56% of directors reported that most graduates (76–100%) achieved adequate CRRT competence, 44% rated graduate preparedness as only “moderate.” The main needs identified were increasing equipment availability (37%), fostering more hands-on participation (22%), providing continuous education (18%), and reinforcing theoretical content (15%). Overall, 85% of respondents believed that limited CRRT access significantly constrains nephrology training, and 52% considered it negatively impacts the care of critically ill patients. The main limitation of this study was the 69% (27 out of 39) response rate, which may have introduced selection bias, as centers with CRRT were more likely to participate, potentially overestimating national availability and use of these therapies.
CRRT availability in Mexican nephrology training centers is heterogeneous and directly influences both specialist preparedness and the quality of critical renal care. A coordinated national strategy is needed to expand access, standardize protocols, and strengthen educational curricula, ensuring that future nephrologists are fully equipped to provide comprehensive care to critically ill patients.
This abstract was previously presented at the Latin American Society of Nephrology and Hypertension (SLANH) Congress 2025, held in Guayaquil, Ecuador.
