• Crit Care · Mar 2023

    Review

    How I prescribe prolonged intermittent renal replacement therapy.

    • Edward G Clark and Anitha Vijayan.
    • Division of Nephrology, Department of Medicine, University of Ottawa, Ottawa, Canada. edclark@toh.ca.
    • Crit Care. 2023 Mar 8; 27 (1): 8888.

    AbstractProlonged Intermittent Renal Replacement Therapy (PIRRT) is the term used to define 'hybrid' forms of renal replacement therapy. PIRRT can be provided using an intermittent hemodialysis machine or a continuous renal replacement therapy (CRRT) machine. Treatments are provided for a longer duration than typical intermittent hemodialysis treatments (6-12 h vs. 3-4 h, respectively) but not 24 h per day as is done for continuous renal replacement therapy (CRRT). Usually, PIRRT treatments are provided 4 to 7 times per week. PIRRT is a cost-effective and flexible modality with which to safely provide RRT for critically ill patients. We present a brief review on the use of PIRRT in the ICU with a focus on how we prescribe it in that setting.© 2023. The Author(s).

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