Renal replacement therapy in critically ill patients: what modality should we choose?

Acute kidney injury is a common complication in the intensive care unit. Mortality in critically ill patients requiring dialysis is unacceptably high, despite significant advances in the care of the critically ill with AKI. The discussion whether continuous or intermittent renal replacement therapy is the preferred modality of choice in these patients has decades and the two main factors for decision are: the availability and experience with a specific treatment, and the haemodynamic status of the patient. Multiple studies have tried to establish the best treatment option in terms of patient and renal survival for critically ill patients requiring dialysis. In this revision I will try to summarize the available evidence on this topic

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Bibliographic Details
Main Author: Ferreira,Ana Carina
Format: Digital revista
Language:English
Published: Sociedade Portuguesa de Nefrologia 2013
Online Access:http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-01692013000200003
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Summary:Acute kidney injury is a common complication in the intensive care unit. Mortality in critically ill patients requiring dialysis is unacceptably high, despite significant advances in the care of the critically ill with AKI. The discussion whether continuous or intermittent renal replacement therapy is the preferred modality of choice in these patients has decades and the two main factors for decision are: the availability and experience with a specific treatment, and the haemodynamic status of the patient. Multiple studies have tried to establish the best treatment option in terms of patient and renal survival for critically ill patients requiring dialysis. In this revision I will try to summarize the available evidence on this topic