• Michael J Connor and Nithin Karakala.
• Divisions of Pulmonary, Allergy, Critical Care, and Sleep Medicine; Renal Medicine, Department of Medicine, Emory University School of Medicine, Atlanta, GA; and Division of Nephrology, University of Arkansas for Medial Sciences, Little Rock, AK. Electronic address: michael.connor@emory.edu.
• Adv Chronic Kidney Dis. 2017 Jul 1; 24 (4): 213-218.

AbstractContinuous renal replacement therapy (CRRT) use continues to expand globally. Despite improving technology, CRRT remains a complex intervention. Delivery of high-quality CRRT requires close collaboration of a multidisciplinary team including members of the critical care medicine, nephrology, nursing, pharmacy, and nutrition support teams. While significant gaps in medical evidence regarding CRRT persist, the growing evidence base supports evolving best practice and consensus to define high-quality CRRT. Unfortunately, there is wide variability in CRRT operating characteristics and limited uptake of these best practices. This article will briefly review the current best practice on important aspects of CRRT delivery including CRRT dose, anticoagulation, dialysis vascular access, fluid management, and drug dosing in CRRT.Copyright © 2017 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.

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