Revue médicale de Bruxelles
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Acute renal failure is still associated with a high mortality rate among intensive care patients, despite improvements in renal replacement therapies. The available intermittent and continuous renal replacement therapy techniques all have their own advantages and disadvantages. ⋯ For these reasons, daily consultation between intensivists and nephrologists is necessary to select the best technique for the ICU patient with acute renal failure, based on the hemodynamic status, biological variables (uremia, coagulation, acid-base balance, electrolytes) and effects on other organ systems (cognitive state, pericarditis, myopathy). In the future, new markers of renal dysfunction may facilitate treatment choices.