Continuous Renal Replacement Therapy

Tandukar, Srijan; Palevsky, Paul M.

doi:10.1016/j.chest.2018.09.004

Cited by 233 publications

(287 citation statements)

References 99 publications

Supporting

Mentioning

266

Contrasting

Unclassified

Order By: Relevance

“…Acute RRT is required GFR in cases of AKI presenting with refractory volume overload, intractable metabolic acidosis and hyperkalemia, and uremia [2][3][4]. However, in cases of severe AKI, RRT is often initiated before the onset of these conventional indications for RRT.…”

Section: Indications For Crrt In the Elderlymentioning

confidence: 99%

“…At present, the Kidney Disease Improving Global Outcomes (KDIGO) recommends delivering an effluent volume of 20 to 25 mL/kg/hr [2]. However, the actual dose delivered may be substantially lower than the prescribed dose due to filter fouling and interruptions during CRRT, such as circuit changes and clotting [4]. Hence, attention should be paid to the actual delivered dose, particularly in the elderly because of their typically lower BMI and altered body composition (Fig.…”

Section: Timing and Dosage Of Crrt In The Elderlymentioning

confidence: 99%

“…In intensive care unit (ICU) patients with hemodynamic instability, continuous renal replacement therapy (CRRT) is recommended because of its superior hemodynamic tolerability [2,3]. CRRT also has less of an effect on intracranial pressure, which makes it more suitable for patients with acute brain injury and cerebral edema [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Continuous renal replacement therapy in elderly with acute kidney injury

Medina-Liabres

Kim

2020

Korean J Intern Med

View full text Add to dashboard Cite

The objective of this article is to raise awareness among physicians of the increasing incidence of acute kidney injury in the elderly population and the utility of continuous renal replacement therapy (CRRT) in its management. While CRRT is frequently applied in younger patients, its use in elderly patients is less frequent, for various reasons, including resistance to such an aggressive intervention from the family and the healthcare team. However, predictors of prognosis have been identified and some studies have concluded that advanced age is not associated with poor outcomes. Decisions regarding management are more complex when dealing with the elderly but like very other patient, the approach should be patient-centered.

show abstract

Section: Indications For Crrt In the Elderlymentioning

confidence: 99%

Section: Timing and Dosage Of Crrt In The Elderlymentioning

confidence: 99%

See 1 more Smart Citation

Continuous renal replacement therapy in elderly with acute kidney injury

Medina-Liabres

Kim

2020

Korean J Intern Med

View full text Add to dashboard Cite

show abstract

“…CRRT is a mode of renal replacement therapy for hemodynamically unstable, fluid overloaded patients and the patients with sepsis and septic shock in management of ARF, especially in the ICU setting [19] . CRRT initiated for ARF in critically ill patients should serve as a renal 'replacement' therapy mimicking as artificial kidney support.…”

Section: Discussionmentioning

confidence: 99%

SARS-CoV-2 infection does not significantly cause acute renal injury: an analysis of 116 hospitalized patients with COVID-19 in a single hospital, Wuhan, China

Wang

et al. 2020

Preprint

View full text Add to dashboard Cite

ContributorsZG and YL made substantial contributions to the study concept and design. LW was in charge of the manuscript draft. XL, CH, SY and DL took responsibility for obtaining written consent from patients, obtaining ethical approval, collecting samples, and confirming data accuracy. LW and ZG participated in drafting the manuscript, and revising it on the basis of reviewers' comments. LW made substantial contributions to data acquisition, analysis, and interpretation. Declaration of interestsWe declare no competing interests. Data sharingWith the permission of the corresponding authors, we can provide participant data without names and identifiers, but not the study protocol, statistical analysis plan, or informed consent form. Data can be provided after the Article is published. Once the data can be made public, the research team will provide an email address for communication. The corresponding authors have the right to decide whether to share the data or not based on the research objectives and plan provided.All rights reserved. No reuse allowed without permission. author/funder, who has granted medRxiv a license to display the preprint in perpetuity.

show abstract

“…The other three modalities are continuous veno-venous hemofiltration (CVVH) (convection), continuous veno-venous hemodialysis (CVVHD) (diffusion) and continuous veno-venous hemodiafiltration (CVVHDF) (diffusion and convection) [163][164][165][166]. Peritoneal dialysis, a slow efficient continuous modality is an acceptable alternative to extra corporeal modalities [167]. Intermittent hemodialysis (iHD) is routinely prescribed for 3 to 4 h three times a week and supports rapid clearances of small molecules and toxic drugs [168].…”

Section: Management Of Akimentioning

confidence: 99%

Diagnostics, Risk Factors, Treatment and Outcomes of Acute Kidney Injury in a New Paradigm

Thongprayoon

Hansrivijit

Kovvuru

et al. 2020

JCM

View full text Add to dashboard Cite

Acute kidney injury (AKI) is a common clinical condition among patients admitted in the hospitals. The condition is associated with both increased short-term and long-term mortality. With the development of a standardized definition for AKI and the acknowledgment of the impact of AKI on patient outcomes, there has been increased recognition of AKI. Two advances from past decades, the usage of computer decision support and the discovery of AKI biomarkers, have the ability to advance the diagnostic method to and further management of AKI. The increasingly widespread use of electronic health records across hospitals has substantially increased the amount of data available to investigators and has shown promise in advancing AKI research. In addition, progress in the finding and validation of different forms of biomarkers of AKI within diversified clinical environments and has provided information and insight on testing, etiology and further prognosis of AKI, leading to future of precision and personalized approach to AKI management. In this this article, we discussed the changing paradigms in AKI: From mechanisms to diagnostics, risk factors, and management of AKI.

show abstract

Continuous Renal Replacement Therapy

Cited by 233 publications

References 99 publications

Continuous renal replacement therapy in elderly with acute kidney injury

Continuous renal replacement therapy in elderly with acute kidney injury

SARS-CoV-2 infection does not significantly cause acute renal injury: an analysis of 116 hospitalized patients with COVID-19 in a single hospital, Wuhan, China

Diagnostics, Risk Factors, Treatment and Outcomes of Acute Kidney Injury in a New Paradigm

Contact Info

Product

Resources

About