Continuous renal replacement therapy (CRRT) is any extracorporeal blood purification therapy designed to substitute for impaired renal function over an extended period, and intended to be applied for up to 24 hours a day.(1)
As the body of scientific studies on CRRT increase, more and more clinicians are coming to agreement that CRRT is the modality of choice for treating ICU patients with Acute Kidney Injury (AKI), especially in the case of hemodynamically unstable AKI patients.
Benefits of CRRT
Today, nephrologists are prescribing CRRT with an increasing level of confidence due to its short- and long-term benefits, and studies that support its success in treating critically ill AKI patients who are hemodynamically unstable.
Examples of CRRT treatments include:
(1) Kellum, Bellomo, Ronco. Continuous Renal Replacement Therapy. New York: Oxford University Press, 2010, print.
(2) RENAL: Randomized Evaluation of Normal versus Augmented Level of renal replacement. Bellomo et all, Intensity of Continuous Renal-Replacement Therapy in Critically Ill Patients. N Engl J Med 2009;361:1627-38.
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