Dialysis decision in critically ill patients in intensive care unit

被引:0
作者
Rhee, Harin [1 ,2 ]
机构
[1] Pusan Natl Univ, Dept Nephrol, Sch Med, 179 Gudeok Ro, Pusan 49241, Guam, South Korea
[2] Pusan Natl Univ Hosp, Biomed Res Inst, 179 Gudeok Ro, Pusan 49241, Guam, South Korea
关键词
acute kidney injury; critical illness; kidney replacement therapy; kidney support therapy; time-to-treatment; RENAL-REPLACEMENT THERAPY; ACUTE KIDNEY INJURY; POLYMYXIN-B HEMOPERFUSION; 28-DAY MORTALITY; SEPTIC SHOCK; STRATEGIES; INITIATION; MODALITY; ICU;
D O I
10.4266/acc.004896
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The 2012 Kidney Disease Improving Global Outcomes guidelines clearly define emergent indications for kidney replacement therapy; however, whether dialysis should be initiated in critically ill patients without these indications remains unclear. This review briefly summarizes the results of recent landmark trials and discusses their limitations originating from a criteria-based approach at a single time point. Moreover, a personalized approach based on each patient's demand-capacity balance and its future benefits as a platform for kidney support therapy in critically ill patients are discussed.
引用
收藏
页码:1 / 9
页数:9
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