Continuous Renal Replacement Therapy in the Adult Intensive Care Unit

Dirkes, Susan; Hodge, Kimberly
April 2007
Critical Care Nurse;Apr2007, Vol. 27 Issue 2, p61
Academic Journal
The article examines the treatment of acute renal failure (ARF) in critically ill patients, indications for intermittent hemodialysis and continuous renal replacement therapy (CRRT). In some patients ARF can be managed by nondialytic interventions such as loop diuretics. Intermittent hemodialysis is also a commonly used treatment for ARF in the critical care unit for some patients. Patients should have a complete nursing assessment before CRRT is started.


Related Articles

  • End-expiratory lung impedance change enables bedside monitoring of end-expiratory lung volume change. Hinz, J.; Hahn, G.; Neumann, P.; Sydow, M.; Mohrenweiser, P.; Hellige, G.; Burchardi, H. // Intensive Care Medicine;Jan2003, Vol. 29 Issue 1, p37 

    Objective. The aim of the study was to investigate the effect of lung volume changes on end-expiratory lung impedance change (ELIC) in mechanically ventilated patients, since we hypothesized that ELIC may be a suitable parameter to monitor lung volume change at the bedside. Design. Clinical...

  • Acute Kidney Injury: Controversies Revisited. Yong, Kenneth; Dogra, Gursharan; Boudville, Neil; Pinder, Mary; Wai Lim // International Journal of Nephrology;2011, p1 

    This paper addresses the epidemiology of AKI specifically in relation to recent changes in AKI classification and revisits the controversies regarding the timing of initiation of dialysis and the use of peritoneal dialysis as a renal replacement therapy for AKI. In summary, the new RIFLE/AKIN...

  • Renal Assist Device Therapy for Acute Renal Failure. Dirkes, Susan M.; Kozlowski, Charles // Nephrology Nursing Journal;Dec2003, Vol. 30 Issue 6, p611 

    Acute renal failure (ARF) is a syndrome that occurs frequently in critically ill patients. Current treatments for ARF in the intensive care unit (ICU) include intermittent hemodialysis and continuous renal replacement therapies. These treatments provide for the replacement of some functions of...

  • Prescribing an equilibrated intermittent hemodialysis dose in intensive care unit acute renal failure. Kanagasundaram, Nigel S.; Greene, Tom; Larive, A. Brett; Daugirdas, John T.; Depner, Thomas A.; Garcia, Michelle; Paganini, Emil P. // Kidney International;Dec2003, Vol. 64 Issue 6, p2298 

    Prescribing an equilibrated intermittent hemodialysis dose in intensive care unit acute renal failure. Background. Prospective, formal, blood-side, urea kinetic modeling (UKM) has yet to be applied in intermittent hemodialysis for acute renal failure (ARF). Methods for prescribing a target,...

  • Outcome studies of continuous renal replacement therapy in the intensive care unit. Silvester, William // Kidney International Supplement;May1998, Issue 66, pS-138 

    Examines the introduction of continuous renal replacement therapy (CRRT) in the intensive care unit for the management of acute renal failure (ARF). Comparison between CRRT and intermittent hemodialysis (IHD); Inability of patients with ARF to tolerate the hemodynamic effects of IHD;...

  • Replacement of Renal Function in Intensive Care Unit Patients. Marneras, Christos; Karpouhtsi, Irene // Nosileftiki;Apr2009, Vol. 48 Issue 2, p173 

    During the last twenty years, there has been a trend for novel techniques, such as the continuous renal replacement treatment (CRRT) method to replace the classic intermittent haemodialysis (IHD) method in the treatment of seriously ill patients suffering from acute renal failure hospitalized in...

  • Do we know the optimal dose for renal replacement therapy in the intensive care unit? Bellomo, R // Kidney International;Oct2006, Vol. 70 Issue 7, p1202 

    Increasing the dose of renal replacement therapy might increase survival in critically ill patients with acute renal failure. For continuous renal replacement therapy (CRRT), a single-center study suggests that increasing urea clearance from 20 ml/kg/h to 35–45 ml/kg/h might increase...

  • Five-year outcomes of severe acute kidney injury requiring renal replacement therapy. Helmut Schiffl; Rainald Fischer // Nephrology Dialysis Transplantation;Jul2008, Vol. 23 Issue 7, p2235 

    Background. Current research priorities in critical care medicine are focusing on long-term outcomes of survivors of critical illness. Severe acute kidney injury (AKI) is a common occurrence in intensive care. However, few studies have followed up these patients beyond 12 months after hospital...

  • Akut böbrek yetmezliÄŸi geliÅŸen yoÄŸun bakım hastalarında Rifle kriterlerinin uygulanması ve prognoza etki eden faktörlerin deÄŸerlendirilmesi. Usluoğulları, Celil Alper; Caner, Sedat; Balkan, Fevzi; Kılıç, Vedat; Sezer, Siren // Dicle Medical Journal / Dicle Tip Dergisi;2013, Vol. 40 Issue 4, p555 

    Objective: Acute renal failure (ARF) was seen in 5-20% of patients in intensive care unit (ICU). The disturbances of metabolic and hormonal functions contribute to increase the rate of mortality and morbidity in the patients whose have ARF. In our study, firstly we separated the patients, have...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics