Current state of the art for renal replacement therapy in critically ill patients with acute kidney injury

被引：92

作者：

Bagshaw, Sean M. ^{[1
]}

Darmon, Michael ^{[2
]}

Ostermann, Marlies ^{[3
]}

Finkelstein, Fredric O. ^{[4
]}

Wald, Ron ^{[5
]}

Tolwani, Ashita J. ^{[6
]}

Goldstein, Stuart L. ^{[7
]}

Gattas, David J. ^{[8
]}

Uchino, Shigehiko ^{[9
]}

Hoste, Eric A. ^{[10
,11
]}

Gaudry, Stephane ^{[12
]}

机构：

[1] Univ Alberta, Dept Crit Care Med, Fac Med & Dent, 2-124E,Clin Sci Bldg,8440-112 ST NW, Edmonton, AB T6G 2B7, Canada

[2] CHU St Etienne, Hop Nord, Serv Reanimat Med, EA3065, Ave Albert Raimond, St Etienne, France

[3] Guys & St Thomas Hosp, Dept Crit Care & Nephrol, London SE1 9RT, England

[4] Yale Univ, New Haven, CT USA

[5] St Michaels Hosp, Div Nephrol, 30 Bond St, Toronto, ON M5B 1W8, Canada

[6] Univ Alabama Birmingham, Div Nephrol, Birmingham, AL USA

[7] Cincinnati Childrens Hosp Med Ctr, 3333 Burnet Ave,MLC 7022, Cincinnati, OH 45229 USA

[8] Univ Sydney, Royal Prince Alfred Hosp, Sydney, NSW, Australia

[9] Jikei Univ, Sch Med, Intens Care Unit, Dept Anesthesiol, Tokyo, Japan

[10] Univ Ghent, Ghent Univ Hosp, Dept Intens Care Med, Ghent, Belgium

[11] Res Fdn Flanders, Flanders, Belgium

[12] Hop Louise Mourier, Serv Reanimat Med Chirurg, Colombes, France

来源：

INTENSIVE CARE MEDICINE | 2017年 / 43卷 / 06期

关键词：

Acute kidney injury; Renal replacement therapy; Modality; Fluid overload; Peritoneal dialysis; Citrate; INTENSIVE-CARE PATIENTS; CONTINUOUS VENOVENOUS HEMOFILTRATION; EXTRACORPOREAL MEMBRANE-OXYGENATION; REGIONAL CITRATE ANTICOAGULATION; RANDOMIZED CONTROLLED-TRIAL; HIGH-VOLUME HEMOFILTRATION; PERITONEAL-DIALYSIS; INTERMITTENT HEMODIALYSIS; HEPARIN ANTICOAGULATION; IONIZED CALCIUM;

D O I：

10.1007/s00134-017-4762-8

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Acute kidney injury (AKI) is associated with incremental risk for death and chronic kidney disease and represents a mounting clinical challenge for healthcare professionals. Renal replacement therapy (RRT) use in ICU settings is rising, likely in response to similar trends in AKI, taken together with an ageing population burdened by high prevalence of multi-morbidity and high illness acuity. Numerous features of RRT prescription and delivery are not standardized, nor are they supported from high-quality evidence derived from randomized trials. Despite the publication of rigorous clinical practice guidelines focused on RRT for AKI that are intended to optimize the quality and reliability of RRT in ICU settings, practice patterns and outcomes continue to show significant variability. In this concise review, we aim to summarize new knowledge and recent advances for the provision of RRT for critically ill patients with AKI.

引用

页码：841 / 854

页数：14

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