Dose of Continuous Renal Replacement Therapy in Critically Ill Patients: A Bona Fide Quality Indicator

被引：22

作者：

Vasquez Jimenez, Enzo ^{[1
]}

Anumudu, Samaya J. ^{[2
]}

Neyra, Javier A. ^{[3
]}

机构：

[1] Natl Inst Cardiol Mexico, Dept Nephrol, Mexico City, DF, Mexico

[2] Baylor Coll Med, Div Nephrol, Dept Internal Med, Houston, TX USA

[3] Univ Kentucky, Div Nephrol, Dept Internal Med Bone & Mineral Metab, Lexington, KY USA

来源：

NEPHRON | 2021年 / 145卷 / 02期

关键词：

Acute kidney injury; Quality metric; Quality indicator; Continuous renal replacement therapy; Dose; ACUTE KIDNEY INJURY; CONTINUOUS VENOVENOUS HEMOFILTRATION; VOLUME HEMOFILTRATION; SOLUTE CLEARANCES; CRRT CARE; INTENSITY; STANDARD; SURVIVAL; DIALYSIS; FAILURE;

D O I：

10.1159/000512846

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：

Acute kidney injury (AKI) is common in critically ill patients, and renal replacement therapy (RRT) constitutes an important aspect of acute management during critical illness. Continuous RRT (CRRT) is frequently utilized in intensive care unit settings, particularly in patients with severe AKI, fluid overload, and hemodynamic instability. The main goal of CRRT is to timely optimize solute control, acid-base, and volume status. Total effluent dose of CRRT is a deliverable that depends on multiple factors and therefore should be systematically monitored (prescribed vs. delivered) and iteratively adjusted in a sustainable mode. In this manuscript, we review current evidence of CRRT dosing and provide recommendations for its implementation as a quality indicator of CRRT delivery.

引用

页码：91 / 98

页数：8

共 53 条

[11] Toward the optimal dose metric in continuous renal replacement therapy [J].

Claure-Del Granado, Rolando ;

Macedo, Etienne ;

Chertow, Glenn M. ;

Soroko, Sharon ;

Himmelfarb, Jonathan ;

Ikizler, T. Alp ;

Paganini, Emil P. ;

Mehta, Ravindra L. .

INTERNATIONAL JOURNAL OF ARTIFICIAL ORGANS, 2012, 35 (06) :413-424

[12] Early High-Volume Hemofiltration versus Standard Care for Post-Cardiac Surgery Shock The HEROICS Study [J].

Combes, Alain ;

Brechot, Nicolas ;

Amour, Julien ;

Cozic, Nathalie ;

Lebreton, Guillaume ;

Guidon, Catherine ;

Zogheib, Die ;

Thiranos, Jean-Claude ;

Rigai, Jean-Christophe ;

Bastien, Olivier ;

Benhaoua, Hamina ;

Abry, Bernard ;

Ouattara, Alexandre ;

Trouillet, Jean-Louis ;

Mallet, Alain ;

Chastre, Jean ;

Leprince, Pascal ;

Luyt, Charles-Edouard .

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2015, 192 (10) :1179-1190

[13] Continuous Renal Replacement Therapy: Reviewing Current Best Practice to Provide High-Quality Extracorporeal Therapy to Critically Ill Patients [J].

Connor, Michael J., Jr. ;

Karakala, Nithin .

ADVANCES IN CHRONIC KIDNEY DISEASE, 2017, 24 (04) :213-218

[14] Citrate anticoagulation for continuous renal replacement therapy (CRRT) in patients with acute kidney injury admitted to the intensive care unit [J].

Davenport, Andrew ;

Tolwani, Ashita .

CLINICAL KIDNEY JOURNAL, 2009, 2 (06) :439-447

[15] Foreword [J].

Eckardt, Kai-Uwe ;

Kasiske, Bertram L. .

KIDNEY INTERNATIONAL SUPPLEMENTS, 2012, 2 (01) :7-7

[16] Intensity of continuous renal replacement therapy for acute kidney injury [J].

Fayad, Alicia I. ;

Buamscha, Daniel G. ;

Ciapponi, Agustin .

COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2016, (10)

[17] Faster Blood Flow Rate Does Not Improve Circuit Life in Continuous Renal Replacement Therapy: A Randomized Controlled Trial [J].

Fealy, Nigel ;

Aitken, Leanne ;

du Toit, Eugene ;

Lo, Serigne ;

Baldwin, Ian .

CRITICAL CARE MEDICINE, 2017, 45 (10) :E1018-E1025

[18] EFFECT OF PLASMA-PROTEINS ON THE SIEVING SPECTRA OF HEMOFILTERS [J].

FELDHOFF, P ;

TURNHAM, T ;

KLEIN, E .

ARTIFICIAL ORGANS, 1984, 8 (02) :186-192

[19] Continuous Renal Replacement Therapy Dosing in Critically III Patients: A Quality Improvement initiative [J].

Griffin, Benjamin R. ;

Thomson, Amanda ;

Yoder, Mark ;

Francis, Isaiah ;

Ambruso, Sophia ;

Bregman, Adam ;

Feller, Michelle ;

Johnson-Bortolotto, Shannon ;

King, Christine ;

Bonnes, Deborah ;

Dufficy, Lisa ;

Wu, Chaorong ;

Bansal, Anip ;

Tad-Y, Darlene ;

Faubel, Sarah ;

Jalal, Diana .

AMERICAN JOURNAL OF KIDNEY DISEASES, 2019, 74 (06) :727-735

[20] Revisiting Filtration Fraction as an Index of the Risk of Hemofilter Clotting in Continuous Venovenous Hemofiltration [J].

Hatamizadeh, Parta ;

Tolwani, Ashita ;

Palevsky, Paul .

CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2020, 15 (11) :1660-1662

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