Indications and timing of renal replacement therapy

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Renal replacement therapy I: indications and timing.

The indications for initiation of renal replacement therapy in acute renal failure are controversial. Although volume overload, metabolic acidosis, hyperkalemia and other electrolyte disturbances, and overt uremic manifestations are commonly accepted indications for renal replacement therapy, specific criteria for initiation of therapy based on these conditions are highly subjective. Progressiv...

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Clinical review: Timing of renal replacement therapy

Acute kidney injury is common in intensive care patients and continuous renal replacement therapy is the preferred treatment for this in most centres. Although these techniques have been adopted internationally, there remains significant variation with regard to their clinical application. This is particularly pertinent when one considers that the fundamental questions regarding any treatment, ...

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Initiation of renal replacement therapy: is timing everything?

Acute kidney injury is commonly encountered and in the critically ill treatment is principally supportive. A recent large, multicentre study has used retrospective analysis to try and identify patient outcomes when commencing renal replacement therapy using conventional biochemical and physiological markers. The authors have also made an attempt to decipher when to commence renal replacement th...

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Timing of renal replacement therapy initiation by AKIN classification system

INTRODUCTION Previous studies using Acute Kidney Injury Network (AKIN)/RIFLE criteria to classify early initiation of renal replacement therapy (RRT) have defined it as the therapy started in less severe AKIN/RIFLE stages. Generally, these studies failed in demonstrating measurable benefits. METHODS We compared RRT initiation in critically ill patients and defined early or late RRT in referen...

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Timing of renal replacement therapy initiation in acute renal failure: a meta-analysis.

BACKGROUND Some studies have suggested that early institution of renal replacement therapy (RRT) might be associated with improved outcomes in patients with acute renal failure (ARF). STUDY DESIGN A systematic review and meta-analysis of randomized controlled trials and cohort comparative studies to assess the effect of early RRT on mortality in patients with ARF. SETTING & POPULATION Hospi...

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ژورنال

عنوان ژورنال: Gaceta de M�xico

سال: 2019

ISSN: 0016-3813

DOI: 10.24875/gmm.m18000068