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Critical Care
Published in: Critical Care 1/2021

Open Access 01-12-2021 | Editorial

How I prescribe continuous renal replacement therapy

Authors: Emily J. See, Rinaldo Bellomo

Published in: Critical Care | Issue 1/2021

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Excerpt

Continuous renal replacement therapy (CRRT) delivers gradual clearance of solutes, fluid balance control, and haemodynamic stability. CRRT does not appear to increase survival compared to intermittent renal replacement therapy (IRRT), but may affect renal recovery [1, 2]. Here, we describe how we prescribe CRRT (Fig. 1). …
Literature
1.
Rabindranath KS, Adams J, MacLeod AM, Muirhead N. Intermittent versus continuous renal replacement therapy for acute renal failure in adults. Cochrane Database Syst Rev. 2007;3:CD003773.
2.
Bell M, Granath F, Schön S, Ekbom A, Martling C-R. Continuous renal replacement therapy is associated with less chronic renal failure than intermittent haemodialysis after acute renal failure. Intensive Care Med. 2007;33:773–80.CrossRef
3.
Bagshaw SM, Wald R, Adhikari NKJ, Bellomo R, da Costa BR, Dreyfuss D, et al. Timing of initiation of renal-replacement therapy in acute kidney injury. N Engl J Med. 2020;383:240–51.CrossRef
4.
Gaudry S, Hajage D, Schortgen F, Martin-Lefevre L, Pons B, Boulet E, et al. Initiation strategies for renal-replacement therapy in the intensive care unit. N Engl J Med. 2016;375:122–33.CrossRef
5.
Zarbock A, Kellum JA, Schmidt C, Van Aken H, Wempe C, Pavenstädt H, et al. Effect of early vs delayed initiation of renal replacement therapy on mortality in critically ill patients with acute kidney injury: the ELAIN Randomized Clinical Trial. JAMA. 2016;315:2190–9.CrossRef
6.
Parienti J-J, Mégarbane B, Fischer M-O, Lautrette A, Gazui N, Marin N, et al. Catheter dysfunction and dialysis performance according to vascular access among 736 critically ill adults requiring renal replacement therapy: a randomized controlled study. Crit Care Med. 2010;38:1118–25.CrossRef
7.
Morgan D, Ho K, Murray C, Davies H, Louw J. A randomized trial of catheters of different lengths to achieve right atrium versus superior vena cava placement for continuous renal replacement therapy. Am J Kidney Dis. 2012;60:272–9.CrossRef
8.
Parienti J-J, Thirion M, Mégarbane B, Souweine B, Ouchikhe A, Polito A, et al. Femoral vs jugular venous catheterization and risk of nosocomial events in adults requiring acute renal replacement therapy. JAMA. 2008;299:2413.CrossRef
9.
Bai M, Zhou M, He L, Ma F, Li Y, Yu Y, et al. Citrate versus heparin anticoagulation for continuous renal replacement therapy: an updated meta-analysis of RCTs. Intensive Care Med. 2015;41:2098–110.CrossRef
10.
Friedrich JO, Wald R, Bagshaw SM, Burns KEA, Adhikari NKJ. Hemofiltration compared to hemodialysis for acute kidney injury: systematic review and meta-analysis. Crit Care. 2012;16:R146.CrossRef
11.
Califano AM, Bitker L, Baldwin I, Fealy N, Bellomo R. Circuit survival during continuous venovenous hemodialysis versus continuous venovenous hemofiltration. Blood Purif. 2020;49:281–8.CrossRef
12.
Bellomo R, Cass A, Cole L, Finfer S, Gallagher M, Lo S, et al. Intensity of continuous renal-replacement therapy in critically ill patients. N Engl J Med. 2009;361:1627–38.CrossRef
13.
Warrillow S, Fisher C, Bellomo R. Correction and control of hyperammonemia in acute liver failure. Crit Care Med. 2020;48:218–24.CrossRef
14.
Chua H-R, Baldwin I, Ho L, Collins A, Allsep H, Bellomo R. Biochemical effects of phosphate-containing replacement fluid for continuous venovenous hemofiltration. Blood Purif. 2012;34:306–12.CrossRef
15.
Rewa OG, Tolwani A, Mottes T, Juncos LA, Ronco C, Kashani K, et al. Quality of care and safety measures of acute renal replacement therapy: workgroup statements from the 22nd acute disease quality initiative (ADQI) consensus conference. J Crit Care. 2019;54:52–7.CrossRef
Metadata
Title
How I prescribe continuous renal replacement therapy
Authors
Emily J. See
Rinaldo Bellomo
Publication date
01-12-2021
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2021
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-020-03448-7

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