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Published in: Annals of Intensive Care 1/2015

Open Access 01-12-2015 | Review

Renal replacement therapy in adult and pediatric intensive care

Recommendations by an expert panel from the French Intensive Care Society (SRLF) with the French Society of Anesthesia Intensive Care (SFAR) French Group for Pediatric Intensive Care Emergencies (GFRUP) the French Dialysis Society (SFD)

Authors: Christophe Vinsonneau, Emma Allain-Launay, Clarisse Blayau, Michael Darmon, Damien du Cheyron, Theophile Gaillot, Patrick M. Honore, Etienne Javouhey, Thierry Krummel, Annie Lahoche, Serge Letacon, Matthieu Legrand, Mehran Monchi, Christophe Ridel, René Robert, Frederique Schortgen, Bertrand Souweine, Patrick Vaillant, Lionel Velly, David Osman, Ly Van Vong

Published in: Annals of Intensive Care | Issue 1/2015

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Abstract

Acute renal failure (ARF) in critically ill patients is currently very frequent and requires renal replacement therapy (RRT) in many patients. During the last 15 years, several studies have considered important issues regarding the use of RRT in ARF, like the time to initiate the therapy, the dialysis dose, the types of catheter, the choice of technique, and anticoagulation. However, despite an abundant literature, conflicting results do not provide evidence on RRT implementation. We present herein recommendations for the use of RRT in adult and pediatric intensive care developed with the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system by an expert group of French Intensive Care Society (SRLF), with the participation of the French Society of Anesthesia and Intensive Care (SFAR), the French Group for Pediatric Intensive Care and Emergencies (GFRUP), and the French Dialysis Society (SFD). The recommendations cover 4 fields: criteria for RRT initiation, technical aspects (access routes, membranes, anticoagulation, reverse osmosis water), practical aspects (choice of the method, peritoneal dialysis, dialysis dose, adjustments), and safety (procedures and training, dialysis catheter management, extracorporeal circuit set-up). These recommendations have been designed on a practical point of view to provide guidance for intensivists in their daily practice.
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Metadata
Title
Renal replacement therapy in adult and pediatric intensive care
Recommendations by an expert panel from the French Intensive Care Society (SRLF) with the French Society of Anesthesia Intensive Care (SFAR) French Group for Pediatric Intensive Care Emergencies (GFRUP) the French Dialysis Society (SFD)
Authors
Christophe Vinsonneau
Emma Allain-Launay
Clarisse Blayau
Michael Darmon
Damien du Cheyron
Theophile Gaillot
Patrick M. Honore
Etienne Javouhey
Thierry Krummel
Annie Lahoche
Serge Letacon
Matthieu Legrand
Mehran Monchi
Christophe Ridel
René Robert
Frederique Schortgen
Bertrand Souweine
Patrick Vaillant
Lionel Velly
David Osman
Ly Van Vong
Publication date
01-12-2015
Publisher
Springer Paris
Published in
Annals of Intensive Care / Issue 1/2015
Electronic ISSN: 2110-5820
DOI
https://doi.org/10.1186/s13613-015-0093-5

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