Euglycemic ketoacidosis, a common and underecognized complication of continuous renal replacement therapy using glucose-free solutions
Acute kidney injury (AKI) is a frequent and severe condition in intensive care unit patients that may require renal replacement therapy; most frequently continuous renal replacement therapy (CRRT). Phosphate-containing replacement fluids are glucose-free solutions commonly used to prevent hypophosphatemia . If hypoglycemia is a well-known complication of their use in CRRT, euglycemic ketoacidosis (EKA) has never been described in this setting.
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Conflicts of interest
The authors declare that they have no conflict of interest.