Renal replacement technique in acute renal failure in critically ill patients: novelties and uncertainties

Authors

  • José María Jiménez Vizuete Jefe de Sección UCI Anestesia. Servicio de Anestesiología y UCI-A. Hospital General Universitario de Albacete
  • Jose Ángel Monsalve Naharro FEA. Unidad de Cuidados Intensivos de Anestesia. Servicio de Anestesiología, Reanimación y Terapéutica del Dolor. Hospital General Universitario de Albacete.
  • Oscar García Blasco FEA. Unidad de Cuidados Intensivos de Anestesia. Servicio de Anestesiología, Reanimación y Terapéutica del Dolor. Hospital General Universitario de Albacete.

DOI:

https://doi.org/10.30445/rear.v10i4.682

Keywords:

Critical patient, acute renal failure, renal replacement techniques, ICU

Abstract

Acute renal failure (ARF) is a frequent complication in patients admitted to the Intensive Care Unit (ICU). It usually appears associated with other organ dysfunctions in the context of a syndrome of multiorgan dysfunction.

The management of ARF in critically ill patients often requires renal replacement therapy (RRT) that is intended to replace impaired renal filtration.

Since the appearance of RRT more than 30 years ago, there has been a notable advance in the knowledge acquired and the improvements in the management of patients with ARF. However, the mortality of ARF continues to be high and there are many controversies and little clarity when applying RRT, such as the moment of initiation and withdrawal, the treatment modality, the dose, the type of anticoagulation, etc. In recent years, numerous studies have attempted to clarify the lack of consensus on many of these aspects.

Author Biography

José María Jiménez Vizuete, Jefe de Sección UCI Anestesia. Servicio de Anestesiología y UCI-A. Hospital General Universitario de Albacete

Jefe de Sección UCI Anestesia. Servicio de Anestesiología y UCI-A.

Hospital General Universitario de Albacete.

Miembro de la Sección de Cuidados Intensivos de la SEDAR.

 

References

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4) Nash DM, Przech S, Wald R, O´Reilly D. Systematic review and meta-analysis of renal replacement therapy modalities for acute kidney injury in the intensive care unit. J Crit Care 2017;41:138-144.
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6) Ricci D, Panicali L, Facchini MG, Mancini E. Citrate anticoagulation during continuous renal replacement therapy. Contrib Nephrol 2017;190:19-30.

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Published

2020-09-10

How to Cite

Jiménez Vizuete, J. M., Monsalve Naharro, J. Ángel, & García Blasco, O. (2020). Renal replacement technique in acute renal failure in critically ill patients: novelties and uncertainties. Revista Electrónica AnestesiaR, 10(4), 4. https://doi.org/10.30445/rear.v10i4.682

Issue

Vol. 10 No. 4 (2018): Revista Electrónica de AnestesiaR

Section

Critical reviews of articles

License

Copyright (c) 2020 Revista Electrónica AnestesiaR

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This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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