• Revue médicale suisse · Dec 2013

    [Continuous renal replacement therapy for acute kidney injury].

    • Ludovic Aymon, Sébastien Kissling, Jean-Pierre Revelly, Yok-Ai Que, and Antoine G Schneider.
    • Service de médecine intensive adulte, CHUV 1011, Lausanne. ludovic.aymon@chuv.ch
    • Rev Med Suisse. 2013 Dec 11;9(410):2324, 2326-9.

    AbstractAcute kidney injury is common in critical illness and associated with important morbidity and mortality. Continuous renal replacement therapy (CRRT) enables physicians to safely and efficiently control associated metabolic and fluid balance disorders. The insertion of a large central venous catheter is required, which can be associated with mechanical and infectious complications. CRRT requires anticoagulation, which currently relies on heparin in most cases although citrate could become a standard in a near future. The choice of the substitution fluid depends on the clinical situation. A dose of 25 ml/kg/h is currently recommended.

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