Challenges and pitfalls when implementing renal replacement therapy in the ICU
نویسنده
چکیده
Several new methods of renal replacement therapy (RRT) are now available for treating patients in the ICU setting. However, utilization of RRT in the ICU is subject to considerable variation and the need for RRT is associated with worse outcomes. Several factors influence the application of dialysis and reflect the interplay of patient and process of care elements that are dynamic in nature. Despite multiple studies evaluating RRT and its application, there are gaps in our knowledge that must be overcome to improve outcomes. This article discusses some of the important issues that require attention in delivering RRT in critically ill patients and provides a framework for the optimal use of RRT in the ICU.
منابع مشابه
Continuous renal replacement therapy in intensive care unit
Acute renal failure (ARF) requiring dialysis is a common complication of patients in intensive care unit (ICU). Dialysis can be performed with either intermittent hemodialysis (IHD) or continuous renal replacement therapy (CRRT). CRRT is associated with less hemodynamic instability. Therefore, it is preferred in critically ill and hypotensive patients in ICU. However, current evidence does not ...
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Introduction CiCVVH has become standard treatment for on ICU with AKI. Though regional citrate anticoagulation for CRRT is recommended as first line therapy in the AKI guideline by the KDIGO Group, IHD is practised in many ICU patients with AKI. Evidence for superiority for one technique over the other remains equivocal, though there is increasing evidence for better renal function preservation...
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