Ultrafiltration in Japanese critically ill patients with acute kidney injury on renal replacement therapy

被引:2
|
作者
Kitamura, Koichi [1 ]
Hayashi, Koichi [2 ]
Fujitani, Shigeki [2 ]
Murugan, Raghavan [3 ,4 ]
Suzuki, Toshihiko [1 ]
机构
[1] Tokyo Bay Urayasu Ichikawa Med Ctr, Dept Nephrol, Endocrinol & Diabet, 3-4-32 Todaijima, Chiba 2790001, Japan
[2] St Marianna Univ, Dept Emergency & Crit Care Med, Sch Med, Kawasaki, Kanagawa, Japan
[3] Univ Pittsburgh, Sch Med, Dept Crit Care Med, Ctr Crit Care Nephrol, Pittsburgh, PA USA
[4] Univ Pittsburgh, Sch Med, Dept Crit Care Med, Clin Res Invest & Syst Modeling Acute Illness CRI, Pittsburgh, PA USA
关键词
Net ultrafiltration; Diuretics; Fluid overload; Renal replacement therapy;
D O I
10.1186/s40560-021-00590-4
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
A recent worldwide survey indicates an international diversity in net ultrafiltration (UFNET) practices for the treatment of fluid overload in critically ill patients with acute kidney injury (AKI) requiring renal replacement therapy (RRT). The sub-analysis of the survey has demonstrated that maximum doses of furosemide used before determination of diuretic resistance are lower in Japan than those prescribed worldwide and UFNET is lower but is initiated earlier. In contrast, the interval during which practitioners evaluate fluid balance is longer. The characterization of RRT in critically ill patients in Japan should unveil more appropriate approaches to the successful treatment of AKI.
引用
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页数:4
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