OBJECTIVES To describe current practice for the discontinuation of continuous renal replacement therapy in a multinational setting and to identify variables associated with successful discontinuation. The approach to discontinue continuous renal replacement therapy may affect patient outcomes. However, there is lack of information on how and under what conditions continuous renal replacement th...

OBJECTIVES To determine the period prevalence, demographic characteristics, cost of treatment, and outcomes of patients admitted to the intensive care unit for continuous renal replacement therapy. DESIGN Descriptive case series. SETTING Intensive Care Unit in a Hong Kong tertiary referral, teaching hospital. PATIENTS All patients admitted to the Intensive Care Unit from January to Decemb...

The indications for initiation of renal replacement therapy in acute renal failure are controversial. Although volume overload, metabolic acidosis, hyperkalemia and other electrolyte disturbances, and overt uremic manifestations are commonly accepted indications for renal replacement therapy, specific criteria for initiation of therapy based on these conditions are highly subjective. Progressiv...

After the implosion of the Soviet Empire, renal replacement therapy in Central and Eastern Europe has undergone dramatic transformation and improvement with respect to quantity and quality. While the prevalence (ie, the number of patients on renal replacement therapy) is still lower than in Western Europe, the incidence (ie, the number of patients accepted for renal replacement therapy) has by ...

BACKGROUND AND OBJECTIVES The prescription and delivery of renal replacement therapy for acute kidney injury is subject to a wide variation and is conditioned by a multiplicity of factors. A variety of renal replacement therapy modalities are now available to treat acute kidney injury; however, there are no standards for the dosage, choice of modality, and intensity and duration of these therap...

Partial EN (enteral nutrition) should always be aimed for in patients with renal failure that require nutritional support. Nevertheless PN (parenteral nutrition) may be necessary in renal failure in patient groups with acute or chronic renal failure (ARF or CRF) and additional acute diseases but without extracorporeal renal replacement therapy, or in patients with ARF or CRF with additional acu...

AIM Acute renal failure is an important adverse effect of cardiopulmonary bypass that can result in high mortality or morbidity rates. It can be treated with continuous renal replacement therapy after cardiac surgery. The purpose of this study was to determine the factors associated with the mortality and incidence of acute renal failure in patients of post cardiac surgery. METHODS Patients (...

Acute renal failure refers to sudden deterioration in biochemical and physiological functioning of kidneys and often associated with multi organ failure. Continuous renal replacement therapy (CRRT) holds special significance for the treatment of renal failure due to a variety of factors. It is believed that CRRT helps in restoration of acid-base imbalances and electrolyte abnormalities. Along w...

Acute kidney injury is an important clinical condition particularly in the intensive care unit. It develops in as many as two-thirds of critically ill patients during the course of their illness and constitutes a significant independent risk factor for death. About 5% patients admitted to an ICU will eventually require renal replacement therapy. In these patients, in-hospital mortality is extre...