• Blood purification · Jan 2012

    Review

    Handling continuous renal replacement therapy-related adverse effects in intensive care unit patients: the dialytrauma concept.

    • J Maynar Moliner, P M Honore, J A Sánchez-Izquierdo Riera, M Herrera Gutiérrez, and H D Spapen.
    • Department of Intensive Care Medicine, Santiago University Hospital, Vitoria, Spain. fjmaynar@gmail.com
    • Blood Purif. 2012 Jan 1; 34 (2): 177-85.

    AbstractContinuous renal replacement therapy (CRRT) is increasingly used for the management of critically ill patients. As a consequence, the incidence of complications that accompany CRRT is also rising. However, a standardized approach for preventing or minimizing these adverse events is lacking. Dialytrauma is a newly proposed concept that encompasses all harmful adverse events related to CRRT while providing a framework for prevention or, at the least, early recognition of these events in order to attenuate the consequences. A mainstay of this approach is the utilization of a dedicated checklist for improving CRRT quality and patient safety. In this context, we discuss the most important adverse effects of CRRT and review current strategies to minimize them.Copyright © 2012 S. Karger AG, Basel.

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