• L. I. Armando Samuels
  • Gerald M. O’Brien


Artificial renal replacement therapy for the treatment of acute renal failure was first introduced during the Korean War. Over the past two decades, technologic improvements have resulted in several treatment options that include peritoneal dialysis, hemodialysis, and continuous renal replacement therapies (CRRT). Moreover, technologic improvements in vascular catheters, semipermeable membranes, and dialytic machinery have resulted in a variety of dialysis prescription options. The clinical indications for choosing these different modalities have not been precisely defined. The choice of therapy often depends on several conditions that include availability of vascular access, types of dialysis machinery, and availability of skilled personnel. This chapter reviews the different types of renal replacement therapy and the indications and complications confronting the clinician in the ICU setting.


Peritoneal Dialysis Acute Renal Failure Renal Replacement Therapy Continuous Renal Replacement Therapy Vascular Access 
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Suggested 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
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  4. Meyer MM. Renal replacement therapies. Crit Care Clin 2000; 16 (1): 29–58.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2002

Authors and Affiliations

  • L. I. Armando Samuels
  • Gerald M. O’Brien

There are no affiliations available

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