- Section 1 ICU organization and management
- Section 2 Pharmacotherapeutics
- Section 3 Resuscitation
- Section 4 The respiratory system
- Section 5 The cardiovascular system
- Section 6 The gastrointestinal system
- Section 7 Nutrition
- Section 8 The renal system
- Part 8.1 Physiology
- Part 8.2 Renal monitoring and risk prediction
- Part 8.3 Oliguria and acute kidney injury
- Part 8.4 Renal replacement techniques
- Chapter 214 Continuous haemofiltration techniques in the critically ill
- Chapter 215 Haemodialysis in the critically ill
- Chapter 216 Peritoneal dialysis in the critically ill
- Part 8.5 Established renal failure
- Section 9 The neurological system
- Section 10 The metabolic and endocrine systems
- Section 11 The haematological system
- Section 12 The skin and connective tissue
- Section 13 Infection
- Section 14 Inflammation
- Section 15 Poisoning
- Section 16 Trauma
- Section 17 Physical disorders
- Section 18 Pain and sedation
- Section 19 General surgical and obstetric intensive care
- Section 20 Specialized intensive care
- Section 21 Recovery from critical illness
- Section 22 End-of-life care
(p. 1018) Haemodialysis in the critically ill
- Chapter:
- (p. 1018) Haemodialysis in the critically ill
- Author(s):
Rolando Claure-Del Granado
and Ravindra L. Mehta
- DOI:
- 10.1093/med/9780199600830.003.0215
Haemodialysis was the first method available to treat patients with kidney failure and remains an important treatment for critically-ill patients with acute kidney injury. Recent studies have shown that intermittent haemodialysis, sustained low-efficiency dialysis, and continuous renal replacement therapies provide similar outcomes for intensive care unit patients. Haemodialysis techniques offer several advantages—informed decisions regarding choice of mode require consideration of the operational characteristics of each method with its advantages and limitations. The choice of modality should be driven by patient characteristics and clinical scenario, ensuring that an adequate delivered dose of dialysis is achieved and there is good haemodynamic tolerance to minimize further insults to the kidney and other organs. This chapter reviews the current concepts and controversies in haemodialysis methods for renal support in the ICU.
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- Section 1 ICU organization and management
- Section 2 Pharmacotherapeutics
- Section 3 Resuscitation
- Section 4 The respiratory system
- Section 5 The cardiovascular system
- Section 6 The gastrointestinal system
- Section 7 Nutrition
- Section 8 The renal system
- Part 8.1 Physiology
- Part 8.2 Renal monitoring and risk prediction
- Part 8.3 Oliguria and acute kidney injury
- Part 8.4 Renal replacement techniques
- Chapter 214 Continuous haemofiltration techniques in the critically ill
- Chapter 215 Haemodialysis in the critically ill
- Chapter 216 Peritoneal dialysis in the critically ill
- Part 8.5 Established renal failure
- Section 9 The neurological system
- Section 10 The metabolic and endocrine systems
- Section 11 The haematological system
- Section 12 The skin and connective tissue
- Section 13 Infection
- Section 14 Inflammation
- Section 15 Poisoning
- Section 16 Trauma
- Section 17 Physical disorders
- Section 18 Pain and sedation
- Section 19 General surgical and obstetric intensive care
- Section 20 Specialized intensive care
- Section 21 Recovery from critical illness
- Section 22 End-of-life care