Renal replacement strategies in the ICU.

@article{John2007RenalRS,
  title={Renal replacement strategies in the ICU.},
  author={Stefan John and Kai-Uwe Eckardt},
  journal={Chest},
  year={2007},
  volume={132 4},
  pages={
          1379-88
        }
}
Acute renal failure (ARF) with the concomitant need for renal replacement therapy (RRT) is a common complication of critical care medicine that is still associated with high mortality. Different RRT strategies, like intermittent hemodialysis, continuous venovenous hemofiltration, or hybrid forms that combine the advantages of both techniques, are available and will be discussed in this article. Since a general survival benefit has not been demonstrated for either method, it is the task of the… Expand
Clarifications on Continuous Renal Replacement Therapy and Hemodynamics
TLDR
Improved hemodynamic management of critically ill patients can be achieved by establishing specific therapeutic hemodynamic targets and maintaining circulatory stability during CRRT. Expand
[Acute perioperative disturbances of renal function. Strategies for prevention and therapy].
TLDR
A unified classification of the continuation of kidney function disorders using the RIFLE criteria can assist recognition of early stages of kidney failure in order to react correspondingly with therapeutic measures and to critically question or optimize the use of conservative treatment strategies. Expand
Clinical Characteristics and 30-Day Outcomes of Intermittent Hemodialysis for Acute Kidney Injury in an African Intensive Care Unit
TLDR
IHD may be a feasible alternative for RRT in critically ill haemodynamically stable patients in low resource settings where CRRT may not be available. Expand
Predictors of Renal Replacement Therapy in Acute Kidney Injury
TLDR
Six parameters (urine albumin, plasma creatinine, blood urea nitrogen, daily urine output, fluid balance and plasma sodium) were combined in a logistic regression model that estimates the probability that a particular patient will need RRT. Expand
Application of continuous renal replacement therapy for acute kidney injury in elderly patients.
  • S. Liu, Q. Cheng, +4 authors X. Cai
  • Medicine
  • International journal of clinical and experimental medicine
  • 2015
TLDR
Logistic regression analysis revealed that the number of involved organ, APACHE II score, mechanical ventilation, and hypoalbuminemia were the major risk coefficients that affected the prognosis of patients with bedside hemofiltration. Expand
[Drugs dosing in intensive care unit during continuous renal replacement therapy].
TLDR
It is necessary to fully understand the different methods of CRRT and drug pharmacokinetic to prescribe the appropriate dose and to avoid under or potentially toxic overdosing. Expand
A Comparison of the Time From Sepsis to Inception of Continuous Renal Replacement Therapy Versus RIFLE Criteria in Patients With Septic Acute Kidney Injury
TLDR
It is suggested that the time interval from sepsis to CRRT inception may be a more useful predictor of 28-day mortality than RIFLE criteria in patients with septic AKI. Expand
Clinical experience with nadroparin in patients undergoing dialysis for renal impairment
TLDR
It is shown that a single intravenous bolus dose of nadroparin was effective and safe for maintaining the patency of the extracorporeal circuit during intermittent hemodialysis sessions lasting up to 6 hours, in both adults and children with end‐stage renal failure. Expand
Acute renal failure: methods of treatment in the intensive care unit.
TLDR
All the methods that can be used depending on the patient's condition, the therapist's preferences and the hospital's capabilities are demonstrated. Expand
SÍNDROME HEPATO-RENAL E TERAPIA DE SUBSTITUIÇÃO RENAL
TLDR
In the transplant candidates with decompensated HRS, it is justified the use of extra-corporeal Substitution Renal Therapy, such as Intermittent Hemodialysis or the Continuous Renal Replacement Therapies, with greater tendency to use the latter. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 82 REFERENCES
CRITICAL CARE ISSUES FOR THE NEPHROLOGIST: Renal Replacement Therapy in the Treatment of Acute Renal Failure—Intermittent and Continuous
TLDR
Whether patients with sepsis and septic shock benefit from early RRT initiation, the use of increased RRT doses, and increased removal of inflammatory mediators by RRT will be discussed. Expand
Comparison of continuous and intermittent renal replacement therapy for acute renal failure.
  • D. Uehlinger, S. Jakob, +9 authors F. Frey
  • Medicine
  • Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
  • 2005
TLDR
The present investigation provides no evidence for a survival benefit of continuous vs intermittent RRT in ICU patients with ARF and indicates which technique is superior with respect to patient outcome. Expand
Continuous renal replacement therapies versus intermittent hemodialysis in acute renal failure: What do we know?
TLDR
Prospective, randomized studies are necessary to clearly demonstrate a benefit of CRRT as opposed to IHD in the treatment of critically ill patients with ARF, as reflected by the varying mortality. Expand
A randomized clinical trial of continuous versus intermittent dialysis for acute renal failure.
TLDR
This study provides no evidence of a survival benefit of continuous hemodiafiltration compared with IHD, and suggests that a randomized controlled trial of alternative dialysis modalities in ARF is feasible. Expand
What dialysis dose should be provided in acute renal failure? A review.
TLDR
In ARF patients, the discrepancy between delivered versus prescribed dialysis dose may be particularly important and contributed to by the following: reduced blood flow rate and dialysis time consequent to patient intolerance; lower dialyzer in vivo clearances, particularly in heparin-free dialysis; blood recirculation when using temporary vascular access; and postdialysis urea rebound. Expand
Adding a dialysis dose to continuous hemofiltration increases survival in patients with acute renal failure.
TLDR
The results suggest that increasing the dialysis dose especially for low molecular weight solutes confers a better survival in severely ill patients with ARF. Expand
Practice patterns in the management of acute renal failure in the critically ill patient: an international survey.
  • Z. Ricci, C. Ronco, +9 authors P. Piccinni
  • Medicine
  • Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
  • 2006
TLDR
Different RRT techniques are available in most centres, but a general lack of treatment dose standardization is noted by a survey, and new classifications such as RIFLE criteria might improve well-known uncertainty about ARF definition. Expand
Extended daily dialysis: A new approach to renal replacement for acute renal failure in the intensive care unit.
TLDR
EDD eliminated the need for constant supervision of the dialysis machine by a subspecialty dialysis nurse, allowing one nurse to manage more than one treatment, and was technically easier to perform. Expand
Current Status of Renal Replacement Therapy for Acute Renal Failure
TLDR
A survey of NKF members provided a snapshot of the current management practices for ARF and it is hoped that this information will provide a baseline for further research in this area. Expand
Comparing continuous hemofiltration with hemodialysis in patients with severe acute renal failure.
TLDR
The results show that the high crude mortality rate of patients undergoing CVVH was related to severity of illness and not the treatment choice itself, and this type of analysis is a practical alternative to what would almost assuredly be a cumbersome and costly prospective, controlled trial comparing traditional HD withCVVH. Expand
...
1
2
3
4
5
...