Search Tag: Renal replacement therapy
Renal-replacement-therapy-practical-recommendations
2016 02 Feb
Trials on renal replacement therapy have conflicting results and therefore the evidence on RRT implementation is unclear. In addition, when the procedure is rarely carried out, clinical staff lack the experience. For these reasons, recommendations on renal replacement therapy have been drawn up by an expert panel from the French Intensive Care Society...Read more
Elain-trial-for-aki-significant-mortality-reduction-in-early-rrt-group
2016 22 May
Results of the Early vs Late Initiation of Renal Replacement Therapy in Critically Ill Patients With Acute Kidney Injury (ELAIN) Trial found a significant reduction in 90-day all-cause mortality in the early initiation group. The single-centre study, by Alexander Zarbock , MD, of University Hospital Munster, Germany, and colleagues, which is to be...Read more
Optimal-timing-of-renal-replacement-therapy-elusive
2016 24 May
A clear answer for the optimal timing of RRT in critical illness remains elusive, say the authors of a systematic review published in Critical Care . They recommend that clinicians refrain from lowering their clinical thresholds for implementing RRT in critical care patients with acute renal injury. Studies on the timing of renal replacement therapy...Read more
Renal-replacement-therapy-for-acute-kidney-injury-questions-remain
2016 30 Nov
Eric Hoste is Professor in Medicine and Head of Clinic at Ghent University Hospital, Belgium. Prof. Hoste’s primary clinical area of interest is clinical critical care nephrology, and he has published more than 190 original papers, review articles and book chapters primarily within this field. He is a Senior Clinical Investigator, Research Foundation-Flanders...Read more
Managing-renal-replacement-therapy-in-aki-patients
2018 23 Jan
It is estimated that 22–57% of critically ill patients develop acute kidney injury (AKI) during their hospitalisation. The increasing incidence of AKI has the immediate effect of a growing need for renal replacement therapy (RRT). However, evidence on how to manage RRT in critically ill patients with AKI remains limited because of ambiguous study results...Read more
Patients-with-aki-and-sepsis-when-to-initiate-renal-replacement-therapy
2018 17 Oct
Among patients with septic shock who had severe acute kidney injury (AKI), there was no significant difference in overall mortality at 90 days between patients who were assigned to an early strategy for the initiation of renal-replacement therapy and those who were assigned to a delayed strategy, according to a randomised controlled trial published...Read more
The-importance-of-continuous-monitoring-of-urine-flow-in-critical-care-patients-1
2020 30 Jun
ABSTRACT This review discusses the importance of continuous, real-time monitoring of urine flow in critical care patients and its potential role in Acute Kidney Injury (AKI) and fluid management in a variety of clinical conditions. Real-time, reliable monitoring of urine flow enables clinicians to detect early signs of kidney injury, and facilitates...Read more
Oliguria-and-the-role-of-urine-monitoring-in-renal-replacement-therapy-rrt-management
2020 28 Jul
ABSTRACT Renal Replacement Therapy (RRT) is a complex treatment modality for a high-risk, critical care patient population with advanced AKI. While there are still no clear guidelines regarding the timing of initiation and termination of RRT, there is a growing body of evidence supporting the importance of urine monitoring and the clinical significance...Read more
Delayed-initiation-strategy-for-renal-replacement-therapy
2021 13 Apr
Delaying renal replacement therapy (RRT) in critically ill patients with severe kidney injury and no severe complication is safe and can allow optimisation of the use of medical devices. However, uncertainty still remains regarding the duration for which RRT can be delayed without risk to the patient. In this study, the researchers evaluate a more-delayed...Read more
Renal-replacement-therapy-in-critically-ill-patients-with-aki
2021 01 Jun
Many critical care patients with severe acute kidney injury (AKI), especially those who develop refractory complications, receive renal replacement therapy (RRT). However, when RRT should be initiated for these patients remains unclear. There is a consensus that in patients with urgent or refractory complications, RRT should be started. However, the...Read more
Sex-differences-in-treatment-of-icu-patients
2022 24 May
Sex imbalance in the ICU has been consistently reported. Worldwide, fewer women are admitted to the ICU than men. Several studies have reported systematic differences in the treatment men and women receive in ICUs. Studies from Europe, North America, and Asia all show women are less likely to receive invasive mechanical ventilation than men. Studies...Read more