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VOLUME 12 , ISSUE 4 ( December, 2008 ) > List of Articles

REVIEW ARTICLE

Renal replacement therapy in the intensive care unit

Jose Chacko

Keywords : Acute renal failure, renal replacement therapy

Citation Information : Chacko J. Renal replacement therapy in the intensive care unit. Indian J Crit Care Med 2008; 12 (4):174-180.

DOI: 10.4103/0972-5229.45078

License: CC BY-ND 3.0

Published Online: 01-12-2008

Copyright Statement:  Copyright © 2008; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Acute renal failure is a frequent complication in critically ill patients that carries with it considerable morbidity and mortality. The management of renal failure in patients with multi-organ failure is different from that of renal failure that presents as a single organ failure. Intermittent haemodialysis, done in the conventional manner may not be tolerated by most critically ill patients. Continuous renal replacement therapy is physiologically superior; however, there is lack of strong evidence to prove a clinical benefit. Hybrid therapies that combine the benefits of intermittent haemodialysis and continuous therapies have emerged in the past few years. These are simpler to carry out, provide more flexibility and may be cost effective and need to be studied in a systematic manner.


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