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Renal Replacement Therapy (RRT)

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Geriatric Trauma and Critical Care

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Abstract

Elderly trauma patients are at particularly high risk for acute kidney injury because of injury-related hypotension and hypovolemia superimposed on decreased physiologic reserve. Aggressive fluid resuscitation should be balanced with other conditions which may limit how much volume an individual patient can tolerate. The initiation and withdrawal of renal replacement therapy in this population can be controversial. Guidelines exist to support decision making and resolving ethical conflicts related to renal support and palliative care.

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Author information

Authors and Affiliations

  1. Department of Surgery, Brigham and Women’s Hospital, 75 Francis Street, Boston, MA, 02115, USA

    Sudha P. Jayaraman MD, MSc & Zara R. Cooper MD, FACS, MSc

  2. Trauma Burn and Surgical Critical Care, Brigham and Women’s Hospital, 75 Francis Street, Boston, MA, 02115, USA

    Zara R. Cooper MD, FACS, MSc

Authors
  1. Sudha P. Jayaraman MD, MSc
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  2. Zara R. Cooper MD, FACS, MSc
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Corresponding author

Correspondence to Zara R. Cooper MD, FACS, MSc .

Editor information

Editors and Affiliations

  1. Department of Surgery, Lincoln Medical Center, Bronx, New York, USA

    Jay A. Yelon

  2. Department of Surgery, Stritch School of Medicine, Loyola University Medical Center, Maywood, Illinois, USA

    Fred A. Luchette

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Jayaraman, S.P., Cooper, Z.R. (2014). Renal Replacement Therapy (RRT). In: Yelon, J., Luchette, F. (eds) Geriatric Trauma and Critical Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8501-8_32

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  • DOI: https://doi.org/10.1007/978-1-4614-8501-8_32

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