Complications of Continuous Renal Replacement Therapy

被引:63
作者
Finkel, Kevin W. [1 ]
Podoll, Amber S. [1 ]
机构
[1] Univ Texas Hlth Sci Ctr, Sect Crit Care Nephrol, Dept Med, Div Renal Dis & Hypertens, Houston, TX USA
关键词
CRITICALLY-ILL PATIENTS; CONTINUOUS VENOVENOUS HEMOFILTRATION; REGIONAL CITRATE ANTICOAGULATION; HEPARIN-INDUCED THROMBOCYTOPENIA; INTENSIVE INSULIN THERAPY; ANAPHYLACTOID REACTIONS; ACUTE DIALYSIS; FAILURE; HEMODIALYSIS; HEMODIAFILTRATION;
D O I
10.1111/j.1525-139X.2008.00550.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Continuous renal replacement therapy (CRRT) is commonly used in critically ill patients with acute kidney injury. Many studies show that compared with intermittent hemodialysis, continuous therapy has superior hemodynamic stability, metabolic clearance, and volume control. Despite these benefits, no survival advantage can be demonstrated with its use. Although study design explains much of this paradox, it is also quite plausible that the complications associated with CRRT negate its potential benefits in the critically ill patient. We summarize the common complications associated with the use of CRRT.
引用
收藏
页码:155 / 159
页数:5
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