Metabolic and nutritional aspects in continuous renal replacement therapy

Fishman, Guy; Singer, Pierre

doi:10.1016/j.jointm.2022.11.001

Cited by 8 publications

(3 citation statements)

References 116 publications

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“…Macronutrients, such as small proteins and peptides, and micronutrients, such as amino acids, glucose, trace elements, and water-soluble vitamins, are cleared from the patient’s blood into the effluent [80]. In addition, the dose, mode, buffer composition, and anticoagulation method of CRRT will all have an impact on the nutritional status of patients [80].…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, as a result of CRRT's nonspecific removal of small and medium molecules from the body, while toxic substances are removed, some human nutrients are also lost. Macronutrients, such as small proteins and peptides, and micronutrients, such as amino acids, glucose, trace elements, and water-soluble vitamins, are cleared from the patient's blood into the effluent [80]. In addition, the dose, mode, buffer composition, and anticoagulation method of CRRT will all have an impact on the nutritional status of patients [80].…”

Section: International Research Status and Cooperationmentioning

confidence: 99%

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Global Scientific Trends in Continuous Renal Replacement Therapy from 2000 to 2023: A Bibliometric and Visual Analysis

Tao,

Feng,

Wang

et al. 2024

Blood Purif

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Introduction: Continuous renal replacement therapy (CRRT) is one of the most widely used blood purification and organ support methods in the ICU. However, the development process, the current status, hotspots, and future trends of CRRT remain unclear. Method: The WoSCC database was used to analyze CRRT research evolution and theme trends. VOSviewer was used to construct co-authorship, co-occurrence, co-citation, and network visualizations. Citespace is used to detect bursts for co-occurrence items. Several important subtopics were reviewed and discussed in more detail. Results: Global publications increased from 56 in 2000 to 398 in 2023, a 710.71% increase. Blood Purification published the most manuscripts, followed by International Journal of Artificial Organs. The United States, the San Bortolo Hospital, and Bellomo, R were the most productive and impactful institution, country, and author respectively. Based on co-occurrence cluster analysis, five clusters emerged: (1) Clinical applications and management of CRRT; (2) Sepsis and CRRT; (3) CRRT anticoagulant management; (4) CRRT and antibiotic pharmacokinetics and pharmacodynamics; and (5) Comparison of CRRT and intermittent hemodialysis. COVID-19, initiation, ECOMO, cefepime, guidelines, cardiogenic shock, biomarker and outcome were the latest high-frequency keywords or strongest bursts, indicating the emerging frontiers of CRRT. Conclusions: There has been widespread publication and citation of CRRT research in the past two decades. We provide an overview of current trends, global collaboration patterns, basic knowledge, research hotspots, and emerging frontiers.

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Section: Discussionmentioning

confidence: 99%

Section: International Research Status and Cooperationmentioning

confidence: 99%

Global Scientific Trends in Continuous Renal Replacement Therapy from 2000 to 2023: A Bibliometric and Visual Analysis

Tao,

Feng,

Wang

et al. 2024

Blood Purif

View full text Add to dashboard Cite

show abstract

“…Macronutrients and micronutrients are also cleared from the patient's blood into the waste [17][18][19][20]. Studies are limited on nutrition requirements, and as such, it is impossible to generalize given the different CCRT performance modalities, types of fluids, and different prescriptions [21]. However, some studies suggest that energy requirements range from 20 to 35 kcal/kg/day with a proportion of 60-70% being carbohydrates and 30-40 being lipids, respectively, considering the anabolic and catabolic phases while considering non-nutritional calories and being cautious about overfeeding [6,19,22].…”

Section: Nutrition Therapy In Continuous Renal Replacement Therapymentioning

confidence: 99%

Medical Nutrition Therapy in Renal Replacement Therapy

Atieno Onyango,

Nyawira Njuguna

2024

Updates on Renal Replacement Therapy

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This chapter discusses Medical Nutrition Therapy in three modalities of renal replacement therapy (RRT), outlining the nutrient requirements for patients on maintenance hemodialysis, peritoneal dialysis, and kidney transplant in acute and chronic phases. The chapter takes note of the drastic impact of RRT on the patient’s nutrition status and overall well-being, which puts them at high risk of morbidity and mortality, and thus emphasizes timely and regular comprehensive nutrition assessment to enable appropriate intervention. Recognizing that there are different modalities of RRT and that patients have different physiological characteristics as well as different laboratory test values, which may also vary for individual patients each time tests are run, nutrition therapy is individualized each time. The chapter takes a closer look at protein-energy wasting, a condition common among patients undergoing RRT, which is a predictor of mortality, discussing its prevention and treatment measures. Finally, the chapter takes a closer look at electrolytes, specifically potassium, sodium, calcium, and phosphorous, in relation to mineral bone disease.

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Nutrition support for patients with renal dysfunction in the intensive care unit: A narrative review

Otis,

Parker,

Busch

2024

Nut in Clin Prac

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Providing optimal nutrition support in the intensive care unit (ICU) is a challenging and dynamic process. Energy, protein, fluid, electrolyte, and micronutrient requirements all can be altered in patients with acute, chronic, and acute‐on‐chronic kidney disease. Given that renal dysfunction occurs in up to one‐half of ICU patients, it is imperative that nutrition support providers understand how renal dysfunction, its metabolic consequences, and its treatments, including renal replacement therapy (RRT), affect patients' nutrition needs. Data on nutrient requirements in critically ill patients with renal dysfunction are sparse. This article provides an overview of renal dysfunction in the ICU and identifies and addresses the unique nutrition challenges present among these patients, including those receiving RRT, as supported by the available literature and guidelines.

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Metabolic and nutritional aspects in continuous renal replacement therapy

Cited by 8 publications

References 116 publications

Global Scientific Trends in Continuous Renal Replacement Therapy from 2000 to 2023: A Bibliometric and Visual Analysis

Global Scientific Trends in Continuous Renal Replacement Therapy from 2000 to 2023: A Bibliometric and Visual Analysis

Medical Nutrition Therapy in Renal Replacement Therapy

Nutrition support for patients with renal dysfunction in the intensive care unit: A narrative review

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