Renal replacement therapy in acute kidney injury: controversy and consensus.

2015-04-06

Ronco, Claudio

Ricci, Zaccaria

De Backer, Daniel

Kellum, John A

Taccone, Fabio S

Joannidis, Michael

Pickkers, Peter

Cantaluppi, Vincenzo

Turani, Franco

Saudan, Patrick

Bellomo, Rinaldo

Joannes-Boyau, Olivier

Antonelli, Massimo

Payen, Didier

Prowle, John R

Vincent, Jean-Louis

Journal Article

10.1186/s13054-015-0850-8

Renal replacement therapies (RRTs) represent a cornerstone in the management of severe acute kidney injury. This area of intensive care and nephrology has undergone significant improvement and evolution in recent years. Continuous RRTs have been a major focus of new technological and treatment strategies. RRT is being used increasingly in the intensive care unit, not only for renal indications but also for other organ-supportive strategies. Several aspects related to RRT are now well established, but others remain controversial. In this review, we review the available RRT modalities, covering technical and clinical aspects. We discuss several controversial issues, provide some practical recommendations, and where possible suggest a research agenda for the future.

link

Critical Care 2015; 19(): 146

Critical Care