Management of Complications in Renal Replacement Therapy

Renal replacement therapies (RRTs) are frequently employed for treatment of patients suffering from acute kidney injury in the intensive care unit (ICU). Multiple modalities of RRT are currently available. These include intermittent hemodialysis, continuous renal replacement therapies, and hybrid th...

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Bibliographic Details
Published in:Seminars in dialysis 2011-03, Vol.24 (2), p.164-168
Main Authors: Shingarev, Roman, Wille, Keith, Tolwani, Ashita
Format: Article
Language:English
Subjects:
Acute Kidney Injury - epidemiology
Acute Kidney Injury - physiopathology
Acute Kidney Injury - therapy
Anticoagulants - adverse effects
Citric Acid - metabolism
Comorbidity
Dialysis Solutions - administration & dosage
Hemodynamics
Humans
Hypotension - epidemiology
Malnutrition - etiology
Renal Dialysis
Renal Replacement Therapy - adverse effects
Renal Replacement Therapy - methods
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Summary:Renal replacement therapies (RRTs) are frequently employed for treatment of patients suffering from acute kidney injury in the intensive care unit (ICU). Multiple modalities of RRT are currently available. These include intermittent hemodialysis, continuous renal replacement therapies, and hybrid therapies, such as sustained low‐efficiency dialysis. Because of the high complexity of ICU patients, physicians must be aware of the limitations and complications of both intermittent and continuous dialysis modalities that can contribute to patient morbidity and mortality. In this article, we highlight the recognized complications of RRTs and the treatment approach to these complications.
ISSN:0894-0959
1525-139X
DOI:10.1111/j.1525-139X.2011.00828.x