Renal replacement therapy in acute kidney injury: controversy and consensus

被引：0
|
作者：
Claudio Ronco
Zaccaria Ricci
Daniel De Backer
John A Kellum
Fabio S Taccone
Michael Joannidis
Peter Pickkers
Vincenzo Cantaluppi
Franco Turani
Patrick Saudan
Rinaldo Bellomo
Olivier Joannes-Boyau
Massimo Antonelli
Didier Payen
John R Prowle
Jean-Louis Vincent
机构：
[1] San Bortolo Hospital,Department Nephrology Dialysis & Transplantation, International Renal Research Institute (IRRIV)
[2] Viale Rodolfi,Department of Cardiology and Cardiac Surgery
[3] Pediatric Cardiac Intensive Care Unit,Department of Intensive Care, Erasme Hospital
[4] Bambino Gesù Children’s Hospital,Center for Critical Care Nephrology, Department of Critical Care Medicine
[5] IRCCS,Division of Emergency and Intensive Care Medicine, Department of Internal Medicine
[6] Université libre de Bruxelles,Department of Intensive Care Medicine
[7] University of Pittsburgh,Nephrology, Dialysis and Kidney Transplantation Unit
[8] Medical University of Innsbruck,Department of Intensive Care
[9] Radboud University Medical Centre,Service of Nephrology, Department of Internal Medicine Specialties
[10] University of Torino,Department of Intensive Care
[11] Azienda Ospedaliera Universitaria ‘Città della Salute e della Scienza di Torino Presidio Molinette’,Centre Hospitalier Universitaire (CHU) de Bordeaux
[12] Aurelia Hospital and European Hospital,Università Cattolica del Sacro Cuore
[13] University Hospital of Geneva, Policlinico Universitario A. Gemelli
[14] Austin Hospital,Department of Anesthesiology and Critical Care, Lariboisière Hospital
[15] Service d’Anesthésie-Réanimation 2,undefined
[16] Largo Agostino Gemelli 8,undefined
[17] Assistance Publique-Hôpitaux de Paris,undefined
[18] University of Paris,undefined
[19] Adult Critical Care Unit,undefined
[20] The Royal London Hospital,undefined
[21] Barts Health,undefined
来源：
Critical Care | / 19卷
关键词：
Renal Replacement Therapy; Acute Kidney Injury; Continuous Renal Replacement Therapy; Fluid Overload; Bivalirudin;
D O I：
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摘要：
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.
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