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Critical Care
Published in: Critical Care 1/2013

01-02-2013 | Letter

Sustained low-efficiency dialysis in surgical acute kidney injury - really useful?

Authors: Matthias Heringlake, Julika Schön, Hauke Paarmann

Published in: Critical Care | Issue 1/2013

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Excerpt

In a recent issue of Critical Care, we read with interest the article by Schwenger and colleagues [1] on sustained low-efficiency dialysis (SLED) versus continuous venovenous hemofiltration (CVVH) in surgical patients with acute kidney injury. The authors have to be congratulated for their efforts to shed some light on the clinical usefulness of the SLED technology as an alternative to conventional renal replacement therapy (RRT) modalities. However, in our opinion, the study has some important limitations: …
Literature
1.
Schwenger V, Weigand MA, Hoffmann O, Dikow R, Kihm LP, Seckinger J, Miftari N, Schaier M, Hofer S, Haar C, Nawroth PP, Zeier M, Martin E, Morath C: Sustained low efficiency dialysis using a single-pass batch system in acute kidney injury - a randomized interventional trial: the REnal Replacement Therapy Study in Intensive Care Unit Patients. Crit Care 2012, 16: R140. 10.1186/cc11445PubMedCentralCrossRefPubMed
2.
3.
Schneider A, Bagshaw M, Glassford NJ, Bellomo R: Exposure to intermittent hemodialysis and renal recovery after acute kidney injury: a systematic review. Crit Care 2012,16(Suppl 1):P368. 10.1186/cc10975PubMedCentralCrossRef
4.
Klarenbach S, Manns B, Pannu N, Clement FM, Wiebe N, Tonelli M: Economic evaluation of continuous renal replacement therapy in acute renal failure. Int J Technol Assess Health Care 2009, 25: 331-338. 10.1017/S0266462309990134CrossRefPubMed
5.
Srisawat N, Lawsin L, Uchino S, Bellomo R, Kellum JA: Cost of acute renal replacement therapy in the intensive care unit: results from The Beginning and Ending Supportive Therapy for the Kidney (BEST Kidney) study. Crit Care 2010, 14: R46. 10.1186/cc8933PubMedCentralCrossRefPubMed
6.
Berbece AN, Richardson RM: Sustained low-efficiency dialysis in the ICU: cost, anticoagulation, and solute removal. Kidney Int 2006, 70: 963-968. 10.1038/sj.ki.5001700CrossRefPubMed
Metadata
Title
Sustained low-efficiency dialysis in surgical acute kidney injury - really useful?
Authors
Matthias Heringlake
Julika Schön
Hauke Paarmann
Publication date
01-02-2013
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2013
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc11908

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