The practice of renal replacement therapy in the intensive care unit

*László Medve¹, Emil Préda¹, Tibor Gondos²

Summary
Little information is available regarding current practice in renal replacement therapy (RRT) for the treatment of acute kidney injury (AKI) and the possible clinical effect of practice variation. Over the last three decades the treatment options for patients with AKI requiring renal replacement therapy (RRT) have expanded from basic acute peritoneal dialysis and intermittent hemodialysis (IHD), to now include a variety of continuous modalities (CRRT), ranging from hemofiltration to dialysis and/or hemodiafiltration, and a variety of hybrid therapies, variously described as extended daily dialysis and/or hemodiafiltration. There is also disagreement on clinical practice for RRT including the best timing to start, vascular access, anti-coagulation, membranes, equipment and finally, if continuous or intermittent techniques should be preferred. This study surveyed the availability and current practice of renal replacement therapy in adult general intensive care units.
Introduction. After having learned the theoretical basis of renal replacement therapy (RRT) and after having established the objective conditions and appropriate environment, acute RRT may be initiated in the ICU. However, during the practical application of the chosen treatment modality, problems still can emerge. To solve these problems it is necessary to assess and manage practical issues arising during RRT.

To jest tylko fragment artykułu. Aby przeczytać całość, przejdź do Czytelni medycznej.