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Book Chapter
Book Chapter
Series: Contributions to Nephrology
Volume: 165
Published: 04 May 2010
10.1159/000313764
EISBN: 978-3-8055-9473-8
... Abstract Acute kidney injury (AKI) is a common complication among critical illnesses. In severe cases, renal replacement therapy (RRT) is required. It has been reported that hospital mortality of the patients who require RRT is more than 60%. Because of the high mortality, it is quite important...
Book Chapter
Series: Contributions to Nephrology
Volume: 194
Published: 26 April 2018
10.1159/000485598
EISBN: 978-3-318-06307-3
... Abstract Renal replacement therapy (RRT) is increasingly utilized to support critically ill patients with severe acute kidney injury (AKI). The clinical dilemma of when to ideally start RRT in these patients has been a longstanding issue that is in need of higher quality evidence to guide...
Book Chapter
Series: Contributions to Nephrology
Volume: 187
Published: 12 February 2016
10.1159/000442369
EISBN: 978-3-318-05826-0
... Abstract Background: Renal replacement therapy (RRT) is commonly and increasingly utilized in critically ill patients with severe acute kidney injury (AKI). The issue of when to start RRT in a critically ill patient with AKI has long troubled clinicians. Summary: Currently...
Book Chapter
Series: Contributions to Nephrology
Volume: 174
Published: 15 September 2011
10.1159/000329401
EISBN: 978-3-8055-9811-8
... Abstract Critically ill patients whose course is complicated by acute kidney injury (AKI) often commence renal replacement therapy (RRT). For these patients, initiation of RRT results in a measurable escalation in both the complexity and associated costs of care. While RRT is commonly used...
Book Chapter
Series: Contributions to Nephrology
Volume: 194
Published: 26 April 2018
10.1159/000485609
EISBN: 978-3-318-06307-3
... Abstract Renal replacement therapy (RRT) is a form of extracorporeal support for critical patients, especially for those with acute kidney injury. This therapy enables to gain adequate control over the great metabolic and fluids demand when kidneys are not able to do so; this condition...
Book Chapter
Series: Contributions to Nephrology
Volume: 174
Published: 15 September 2011
10.1159/000329399
EISBN: 978-3-8055-9811-8
... Abstract All aspects of current treatment of acute kidney injury (AKI), including renal replacement therapy (RRT), are basically supportive. Emergent RRT is indicated in the management of AKI with refractory pulmonary edema, hyperkalemia or metabolic acidosis, or when uremic symptoms or signs...
Book Chapter
Series: Contributions to Nephrology
Volume: 165
Published: 04 May 2010
10.1159/000313766
EISBN: 978-3-8055-9473-8
... Abstract Renal replacement therapy (RRT) is an important therapeutic and supportive measure for acute kidney injury (AKI) in the critical care setting. While RRT is extensively used in clinical practice, there remains uncertainty about the ideal circumstances of when to initiate RRT...
Book Chapter
Series: Contributions to Nephrology
Volume: 187
Published: 12 February 2016
10.1159/000443011
EISBN: 978-3-318-05826-0
... and update of definition in AKI, the incidence of CSA-AKI ranges between 8.9 and 39% [ 1 , 2 ]. And about 1-5% developed severe AKI for which renal replacement therapy (RRT) was needed [ 3 ]. The consensus definitions of AKI were based on 1.5- to 2-fold increases in serum creatinine (SCr) [ 4...
Book Chapter
Series: Contributions to Nephrology
Volume: 193
Published: 08 February 2018
10.1159/000484969
EISBN: 978-3-318-06311-0
... Excellence (NICE) [ 4 ] all strive to make better prevention and management of CSA-AKI care. In recent years, as defined by different criteria, the incidence of CSA-AKI ranges between 20 and 40% [ 5 , 6 ], and 1.6-5.8% of them need RRT [ 7 ]. In a systematic review and meta-analysis, Hu et al. [ 7 ] showed...
Book Chapter
Series: Contributions to Nephrology
Volume: 156
Published: 10 May 2007
10.1159/000102110
EISBN: 978-3-318-01456-3
... Abstract World wide, heparins are the most commonly used anticoagulants for renal replacementtherapy (RRT). In the intensive care unit (ICU) keeping the RRT circuit patent is more difficultthan during routine outpatient hemodialysis, as ICU patients typically have sepsis and/orinflammation...
Book Chapter
Series: Contributions to Nephrology
Volume: 199
Published: 17 December 2021
10.1159/000517752
EISBN: 978-3-318-06937-2
... extrapulmonary manifestations commonly occur, and a substantial proportion of patients with severe COVID-19 exhibit signs of kidney damage. Clinically, kidney involvement ranges from mild/moderate proteinuria and hematuria to acute kidney injury (AKI) requiring renal replacement therapy (RRT...
Book Chapter
Series: Contributions to Nephrology
Volume: 156
Published: 10 May 2007
10.1159/000102137
EISBN: 978-3-318-01456-3
... Abstract Background: Current practices for renal replacement therapy (RRT) in ICU remainpoorly defined. The observational DOse REsponse Multicentre International collaborativeinitiative (DO-RE-MI) survey addresses the issue of how the different modes of RRT are currentlychosen and performed...
Book Chapter
Series: Contributions to Nephrology
Volume: 160
Published: 19 May 2008
10.1159/000125929
EISBN: 978-3-8055-8545-3
... Abstract Acute kidney injury (AKI) is a process that can lead to renal failure. No biologicalmarkers are available for predicting the cause or prognosis of AKI. Tests that can predictwhich patients will need renal replacement therapy (RRT) are needed. In this chapter, wereview the recent...
Book Chapter
Series: Contributions to Nephrology
Volume: 156
Published: 10 May 2007
10.1159/000102114
EISBN: 978-3-318-01456-3
... Abstract Background: The practice of renal replacement therapy (RRT) has reached an optimalstandard of care worldwide. Nevertheless, some aspects of acute renal failure treatment andsupport still present wide variability between different centers. This is especially true for themode and dose...
Book Chapter
Series: World Review of Nutrition and Dietetics
Volume: 105
Published: 01 October 2012
10.1159/000341281
EISBN: 978-3-318-02228-5
... replacement therapy (RRT). The metabolic situation is not only affected by renal dysfunction and the type and intensity of RRT, but also by the underlying disease process and associated complications. Nevertheless, renal failure per se is associated with a broad spectrum of specific metabolic alterations...
Book Chapter
Series: Contributions to Nephrology
Volume: 190
Published: 29 May 2017
10.1159/000468912
EISBN: 978-3-318-06061-4
... of supportive cares that do not target the mechanisms of tissue injury: for this reason, several clinical trials aimed at selectively blocking “the magic bullet” involved in sepsis-associated tissue injury failed [ 4 ]. Furthermore, classical renal replacement therapies (RRTs) are not associated...
Book Chapter
Series: Contributions to Nephrology
Volume: 196
Published: 09 August 2018
10.1159/000485726
EISBN: 978-3-318-06298-4
... Abstract Background: End-stage renal disease (ESRD) in children is considered a rare but serious condition. Information on the epidemiology, demographics, treatment modality at the start of renal replacement therapy (RRT), and mortality of pediatric patients with ESRD is essential...
Book Chapter
Series: Contributions to Nephrology
Volume: 178
Published: 30 May 2012
10.1159/000337806
EISBN: 978-3-318-02163-9
... Abstract Adequate selection of the modality of renal replacement therapy (RRT), ideally based on well-planned predialysis care, informed decision by the patient and timely initiation of dialysis, is essential to optimize the outcome of patients with chronic kidney disease. However...
Book Chapter
Series: Contributions to Nephrology
Volume: 194
Published: 26 April 2018
10.1159/000485602
EISBN: 978-3-318-06307-3
... patients, especially in those with acute kidney injury, and positive or negative fluid balance (FB) is common. Indeed, positive FB is reported in up to 40% of patients admitted to the Intensive Care Unit [ 1 ]; and among critically ill patients receiving renal replacement therapy (RRT), more than two...