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Dialysis

  • Ll. Armando Samuels
  • Faahud A. Yafai
  • Avrum Gillespie
  • Jesse Goldman
Chapter

Abstract

Understand the physiologic principles of dialysis and renal replacement therapy (RRT). Be familiar with the nomenclature and modalities of dialysis and RRT. Understand the complications associated with dialysis therapy. Recognize the general indications for dialysis therapy and the considerations in selection of a specific renal replacement modality.

Keywords

Peritoneal Dialysis Renal Replacement Therapy Blood Urea Nitrogen Acute Kidney Injury Continuous Renal Replacement Therapy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Mehta RL, Letteri JM. Current status of renal replacement therapy for acute renal failure: a survey of US nephrologists. Am J Nephrol. 1999;19:377-382.PubMedCrossRefGoogle Scholar
  2. 2.
    Daugirdas JT. Handbook of Dialysis. Philadelphia: Lippincott Williams & Wilkins; 2006.Google Scholar
  3. 3.
    Karsou SA, Jaber BL, Pereira BJG. Impact of intermittent hemodialysis variables on clinical outcomes in acute renal failure. Am J Kidney Dis. 2000;35:980-981.PubMedCrossRefGoogle Scholar
  4. 4.
    Misset B, Timsit J-F, Chevret S, et al. A randomized cross-over comparison of the hemodynamic response to intermittent hemodialysis and continuous hemofiltration in ICU patients with acute renal failure. Intensive Care Med. 1996;22:742-746.PubMedCrossRefGoogle Scholar
  5. 5.
    Costanzo M, Saltzberg M, O’Sullivan J, et al. Early ultrafiltration in patients with decompensated heart failure and diuretic resistance. J Am Coll Cardiol. 2005;46(11):2047-2051.PubMedCrossRefGoogle Scholar
  6. 6.
    Pronovost P, Needham D, Berenholtz S. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006;355:2725-2732.PubMedCrossRefGoogle Scholar
  7. 7.
    Ricci Z, Ronco C, D’amico G. Practice patterns in the management of acute renal failure in the critically ill patient: an international survey. Nephrol Dial Transplant. 2006;21(3):690-696.PubMedCrossRefGoogle Scholar
  8. 8.
    Phu NH, Hien TT, Mai NTH, et al. Hemofiltration and peritoneal dialysis in infection-associated acute renal failure in Vietnam. N Engl J Med. 2002;347:895-902.PubMedCrossRefGoogle Scholar
  9. 9.
    Van de Noortgate N, Verbeke F, Dhondt A, et al. The dialytic management of acute renal failure in the elderly. Semin Dial. 2002;15:127-132.PubMedCrossRefGoogle Scholar
  10. 10.
    Forsythe SM, Schmidt GA. Sodium bicarbonate for the treatment of lactic acidosis. Chest. 2000;117(1):260-267.PubMedCrossRefGoogle Scholar
  11. 11.
    Alsous F, Khamiees M, DeGirolamo A, et al. Negative fluid balance predicts survival in patients with septic shock: a retrospective pilot study. Chest. 2000;117:1749-1754.PubMedCrossRefGoogle Scholar
  12. 12.
    Chima CS, Meyer L, Hummell AC. Protein catabolic rate in patients with acute renal failure on continuous arteriovenous hemofiltration and total parenteral nutrition. J Am Soc Nephrol. 1993;3:1516-1521.PubMedGoogle Scholar
  13. 13.
    Epstein M. Hepatorenal syndrome: emerging perspectives. Semin Nephrol. 1997;17(6):563-575.PubMedGoogle Scholar
  14. 14.
    Davenport A, Finn R, Goldsmith AJ. Management of patients with acute renal failure complicated by cerebral edema. Blood Purif. 1989;7:203-209.PubMedCrossRefGoogle Scholar
  15. 15.
    Davenport A, Will EJ, Davidson AM. Effect of renal replacement therapy on patients with combined acute renal failure and fulminant hepatic failure. Kidney Int. 1993;43(suppl 41):S245-S251.Google Scholar
  16. 16.
    Teschan PE, Baxter CR, O’Brien TF, et al. Prophylactic hemodialysis in the treatment of acute renal failure. Ann Intern Med. 1960;53:992-1016.PubMedGoogle Scholar
  17. 17.
    Gettings LG, Reynolds HN, Scalea T. Outcome in posttraumatic acute renal failure when continuous renal replacement therapy is applied early vs. late. Intensive Care Med. 1999;25:805-813.PubMedCrossRefGoogle Scholar
  18. 18.
    Demirkilic U, Kuralay E, Yenicesu M, et al. Timing of replacement therapy for acute renal failure after cardiac surgery. J Card Surg. 2004;19:17-20.PubMedCrossRefGoogle Scholar
  19. 19.
    Liu KD, Himmelfarb J, Paganini E, et al. Timing of initiation of dialysis in critically ill patients with acute kidney injury. Clin J Am Soc Nephrol. 2006;1(5):915-919.PubMedCrossRefGoogle Scholar
  20. 20.
    Pannu N, Klarenbach S, Wiebe N, Manns B, Tonelli M, The Alberta Kidney Disease Network. Renal replacement therapy in patients with acute renal failure: a systematic review. JAMA. 2008;299(7):793-805.PubMedCrossRefGoogle Scholar
  21. 21.
    Bagshaw SM, Berthiaume LR, Delaney A, Bellomo R. Continuous versus intermittent renal replacement therapy for critically ill patients with acute kidney injury: a meta-analysis. Crit Care Med. 2008;36(2):610-617.PubMedCrossRefGoogle Scholar
  22. 22.
    Ronco C, Bellomo R, Homel P, et al. Effects of different doses in continuous veno-venous haemofiltration on outcomes of acute renal failure: a prospective randomised trial. Lancet. 2000;356(9223):26-30.PubMedCrossRefGoogle Scholar
  23. 23.
    Kellum JA. Renal replacement therapy in critically ill patients with acute renal failure: does dose improve survival? Nat Clin Prac Nephrol. 2007;3:128-129.CrossRefGoogle Scholar
  24. 24.
    Schiffl H, Lang SM, Fischer R. Daily hemodialysis and the outcome of acute renal failure. N Engl J Med. 2002;346:305-310.PubMedCrossRefGoogle Scholar
  25. 25.
    The VA/NIH Acute Renal Failure Trial Network. Intensity of renal support in critically ill patients with acute kidney injury. N Engl J Med. 2008;359(1):7-20.CrossRefGoogle Scholar

Additional Reading

  1. Briglia A. Acute renal failure in the intensive care unit. Therapy overview, patient risk stratification, complications of renal replacement, and special circumstances. Clin Chest Med. 1999;20(2):347-366.PubMedCrossRefGoogle Scholar
  2. Daugirdas JT. Handbook of Dialysis. Philadelphia: Lippincott Williams & Wilkins; 2006.Google Scholar
  3. Meyer MM. Renal replacement therapies. Crit Care Clin. 2000;16(1):29-58.PubMedCrossRefGoogle Scholar
  4. Pannu N, Klarenbach S, Wiebe S, Manns B, Tonelli M. Renal replacement therapy in patients with acute renal failure: A systematic review. JAMA. 2008;299(7):793-805.PubMedCrossRefGoogle Scholar
  5. The VA/NIH Acute Renal Failure Trial Network. Intensity of renal support in critically ill patients with acute kidney injury. N Engl J Med. 2008;359:1959-1962.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Ll. Armando Samuels
    • 1
  • Faahud A. Yafai
    • 2
  • Avrum Gillespie
    • 3
  • Jesse Goldman
    • 4
  1. 1.Department of MedicineTemple University School of MedicinePhiladelphiaUSA
  2. 2.Division of Nephrology and Kidney TransplantationTemple University HospitalPhiladelphiaUSA
  3. 3.Department of Nephrology and Kidney TransplantationTemple University HospitalPhiladelphiaUSA
  4. 4.Department of Medicine, Section of NephrologyTemple University School of MedicinePhiladelphiaUSA

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