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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2015, Number 2

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An Med Asoc Med Hosp ABC 2015; 60 (2)

Continuous renal replacement therapy in critical ill patients with acute renal injury

Rugerio CA, Navarro AJL, López AJE

Language: Spanish
References: 21
Page: 110-117
PDF size: 204.05 Kb.


ABSTRACT

Acute kidney injury is one of the most important diseases in the field of Critical Care Medicine and its incidence in ward patients has increased in recent years. Its presence has been associated with a significant increase in morbidity and mortality in these patients, but also to a considerable increase in hospital costs. Several studies, both experimental models and epidemiological studies have shown that this entity is a risk factor for the development and progression of chronic kidney disease, negatively affecting the quality of life and prognosis of patients. Since the eighties began what is now known as continuous renal replacement therapy. This type of support has as main objective, the removal of solutes and fluid slowly and continuously from the intravascular compartment, keeping better hemodynamic stability compared to conventional therapies, but also with the intention of improving kidney and patient survival compared with conventional therapies. This is accomplished by convection, diffusion and adsorption. So far there is no consensus about the indications and timing of starting renal replacement therapy in patients with acute kidney injury. Critically ill patients have two potential indications: the replacement of renal function and multiple organ support. This work aims to make a review of the continuous renal replacement therapy in critically ill patients with acute kidney injury.


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