• Critical care clinics · Apr 2021

    Review

    Starting Kidney Replacement Therapy in Critically III Patients with Acute Kidney Injury.

    • Sean M Bagshaw and Ron Wald.
    • Department of Critical Care Medicine, Faculty of Medicine and Dentistry, University of Alberta and Alberta Health Services, 2-124E, Clinical Sciences Building, 8440-112 ST Northwest, Edmonton, Alberta T6G 2B7, Canada. Electronic address: bagshaw@ualberta.ca.
    • Crit Care Clin. 2021 Apr 1; 37 (2): 409-432.

    AbstractKidney replacement therapy (KRT) is a core organ support in critical care settings. In patients suitable for escalation in support, who develop acute kidney injury (AKI) complications and urgent indications, there is consensus that KRT should be promptly initiated. In the absence of such urgent indications, the optimal timing has been less certain. Current clinical practice guidelines do not present strong recommendations for when to start KRT for patients with AKI in the absence of life-threatening and urgent indications. This article discusses how best to provide KRT to critically ill patients with severe AKI.Copyright © 2020 Elsevier Inc. All rights reserved.

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