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Techniques de suppléance de l’insuffisance rénale aiguë

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Désordres métaboliques et réanimation

Part of the book series: Le point sur ... ((POINT))

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Résumé

L’hémodialyse intermittente et la dialyse péritonéale représentaient l’essentiel des épurations extrarénales effectuées en réanimation jusque dans les années 1970. De nouvelles techniques d’épuration continue sont apparues et se sont progressivement imposées comme méthode thérapeutique pour la prise en charge de l’insuffisance rénale aiguë (1). Actuellement, l’hémofiltration continue (HFC), qui repose sur des échanges convectifs contrairement à l’hémodialyse qui fonctionne par un mécanisme diffusif, est la technique de suppléance rénale la plus utilisée en réanimation lors d’une agression rénale aiguë (ARA) classiquement appelée insuffisance rénale aiguë. Cependant, le choix entre les deux techniques repose essentiellement sur des préférences individuelles, de sorte que la question d’un choix étayé entre HFC et HDI reste difficile.

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Authors
  1. V. Chhor
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  2. D. Journois
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Chhor, V., Journois, D. (2011). Techniques de suppléance de l’insuffisance rénale aiguë. In: Désordres métaboliques et réanimation. Le point sur .... Springer, Paris. https://doi.org/10.1007/978-2-287-99027-4_10

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  • DOI: https://doi.org/10.1007/978-2-287-99027-4_10

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-287-99026-7

  • Online ISBN: 978-2-287-99027-4

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