• J Vet Emerg Crit Care (San Antonio) · Mar 2013

    Review

    Extracorporeal renal replacement therapy and blood purification in critical care.

    • Larry D Cowgill and Julien Guillaumin.
    • Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, CA 95616, USA. ldcowgill@ucdavis.edu
    • J Vet Emerg Crit Care (San Antonio). 2013 Mar 1;23(2):194-204.

    ObjectiveTo review indications methods of renal replacement therapies (RRT) and practical considerations for the creation of a RRT program.Data SourcesCurrent human and veterinary literature review with a focus on advanced renal physiology and clinical experience in RRT and acute/chronic kidney diseases.Data SynthesisRenal replacement therapies encompass intermittent hemodialysis, continuous renal replacement therapy as well as some "hybrid" techniques. Each method of RRT has practical and theoretical advantages but currently there is no evidence that one technique is superior to the other.ConclusionsRRT is a valuable therapeutic tool for treatment of acute kidney injury and chronic kidney disease. The implementation of an RRT program needs to take into consideration multiple parameters beyond the choice of an RRT platform.© Veterinary Emergency and Critical Care Society 2013.

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