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Current Anesthesiology Reports

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01-06-2019 | Acute Kidney Injury | Critical Care Anesthesia (BS Rasmussen, Section Editor)

Renal Replacement Therapy in Critical Care: When to Start?

Authors: Morten H. Bestle, Theis Skovsgaard Itenov, Rasmus E. Berthelsen

Published in: Current Anesthesiology Reports | Issue 2/2019

Abstract

Purpose of Review

Aside from absolute indications, the optimal timing of renal replacement therapy (RRT) in critical care is unknown. In this review, we discuss initiation of RRT in relation to both severity of acute kidney injury (AKI) and fluid accumulation.

Recent Findings

Results from studies of early vs. late RRT are conflicting, and no definitive conclusions have been made. Observational data points to fluid accumulation as a detrimental factor in critical illness and recent studies have shown that early fluid removal with RRT is feasible and could potentially improve survival.

Summary

There is a gap in the knowledge regarding when to initiate RRT in the absence of acute life-threatening complications. Recent studies of fluid accumulation in critically ill patients indicate the importance of avoiding fluid overload, and RRT might play an increasing role in the management of fluid balance in critical care.

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Title: Renal Replacement Therapy in Critical Care: When to Start?
Authors: Morten H. Bestle
Theis Skovsgaard Itenov
Rasmus E. Berthelsen
Publication date: 01-06-2019
Publisher: Springer US
Keywords: Acute Kidney Injury
Care
Acute Kidney Injury
Published in: Current Anesthesiology Reports / Issue 2/2019
Electronic ISSN: 2167-6275
DOI: https://doi.org/10.1007/s40140-019-00325-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Renal Replacement Therapy in Critical Care: When to Start?

Abstract

Purpose of Review

Recent Findings

Summary

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose of Review

Recent Findings

Summary

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