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Indian Journal of Critical Care Medicine
Medknow Publications on behalf of the Indian Society of Critical Care Medicine
ISSN: 0972-5229 EISSN: 0972-5229
Vol. 12, No. 4, 2008, pp. 174-180
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Bioline Code: cm08035
Full paper language: English
Document type: Review Article
Document available free of charge
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Indian Journal of Critical Care Medicine, Vol. 12, No. 4, 2008, pp. 174-180
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Renal replacement therapy in the intensive care unit
Chacko, Jose
Abstract
Acute renal failure is a frequent complication in critically ill patients that carries with it considerable morbidity and mortality. The management of renal failure in patients with multi-organ failure is different from that of renal failure that presents as a single organ failure. Intermittent haemodialysis, done in the conventional manner may not be tolerated by most critically ill patients. Continuous renal replacement therapy is physiologically superior; however, there is lack of strong evidence to prove a clinical benefit. Hybrid therapies that combine the benefits of intermittent haemodialysis and continuous therapies have emerged in the past few years. These are simpler to carry out, provide more flexibility and may be cost effective and need to be studied in a systematic manner.
Keywords
Acute renal failure, renal replacement therapy
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© Copyright 2008 Indian Journal of Critical Care Medicine. Alternative site location: http://www.ijccm.org/
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