Skip to main content

An Overview of Complications Associated with Continuous Renal Replacement Therapy in Critically Ill Patients

  • Chapter
Annual Update in Intensive Care and Emergency Medicine 2017

Part of the book series: Annual Update in Intensive Care and Emergency Medicine ((AUICEM))

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Hoste EA, Bagshaw SM, Bellomo R et al (2015) Epidemiology of acute kidney injury in critically ill patients: the multinational AKI-EPI study. Intensive Care Med 41:1411–1423

    Article  PubMed  Google Scholar 

  2. Nisula S, Kaukonen KM, Vaara ST et al (2013) Incidence, risk factors and 90-day mortality of patients with acute kidney injury in Finnish intensive care units: the FINNAKI study. Intensive Care Med 39:420–428

    Article  PubMed  Google Scholar 

  3. Kellum JA, Angus DC (2002) Patients are dying of acute renal failure. Crit Care Med 30:2156–2157

    Article  PubMed  Google Scholar 

  4. De Corte W, Dhondt A, Vanholder R et al (2016) Long-term outcome in ICU patients with acute kidney injury treated with renal replacement therapy: a prospective cohort study. Crit Care 20:256

    Article  PubMed  PubMed Central  Google Scholar 

  5. Chua HR, Schneider AG, Sherry NL et al (2014) Initial and extended use of femoral versus nonfemoral double-lumen vascular catheters and catheter-related infection during continuous renal replacement therapy. Am J Kidney Dis 64:909–917

    Article  PubMed  Google Scholar 

  6. Wierstra BT, Kadri S, Alomar S et al (2016) The impact of "early" versus "late" initiation of renal replacement therapy in critical care patients with acute kidney injury: a systematic review and evidence synthesis. Crit Care 20:122

    Article  PubMed  PubMed Central  Google Scholar 

  7. Vanholder R, Van Biesen W, Hoste E et al (2011) Pro/con debate: continuous versus intermittent dialysis for acute kidney injury: a never-ending story yet approaching the finish? Crit Care 15:204

    Article  PubMed  PubMed Central  Google Scholar 

  8. Truche AS, Darmon M, Bailly S et al (2016) Continuous renal replacement therapy versus intermittent hemodialysis in intensive care patients: impact on mortality and renal recovery. Intensive Care Med 42:1408–1417

    Article  CAS  PubMed  Google Scholar 

  9. Maynar Moliner J, Honore PM, Sanchez-Izquierdo Riera JA et al (2012) Handling continuous renal replacement therapy-related adverse effects in intensive care unit patients: the dialytrauma concept. Blood Purif 34:177–185

    Article  CAS  PubMed  Google Scholar 

  10. Canaud B, Desmeules S, Klouche K et al (2004) Vascular access for dialysis in the intensive care unit. Best Pract Res Clin Anaesthesiol 18:159–174

    Article  PubMed  Google Scholar 

  11. Khwaja A (2012) KDIGO clinical practice guidelines for acute kidney injury. Nephron Clin Pract 120:c179–c184

    Article  PubMed  Google Scholar 

  12. Canaud B, Leray-Moragues H, Leblanc M et al (1998) Temporary vascular access for extracorporeal renal replacement therapies in acute renal failure patients. Kidney Int Suppl 66:142–150

    Google Scholar 

  13. Schetz M (2007) Vascular access for HD and CRRT. Contrib Nephrol 156:275–286

    Article  PubMed  Google Scholar 

  14. Little MA, Conlon PJ, Walshe JJ (2000) Access recirculation in temporary hemodialysis catheters as measured by the saline dilution technique. Am J Kidney Dis 36:1135–1139

    Article  CAS  PubMed  Google Scholar 

  15. Finkel KW, Podoll AS (2009) Complications of continuous renal replacement therapy. Sem Dial 22:155–159

    Article  Google Scholar 

  16. Marik PE, Flemmer M, Harrison W (2012) The risk of catheter-related bloodstream infection with femoral venous catheters as compared to subclavian and internal jugular venous catheters: a systematic review of the literature and meta-analysis. Crit Care Med 40:2479–2485

    Article  PubMed  Google Scholar 

  17. Coupez E, Timsit JF, Ruckly S et al (2016) Guidewire exchange vs new site placement for temporary dialysis catheter insertion in ICU patients: is there a greater risk of colonization or dysfunction? Crit Care 20:230

    Article  PubMed  PubMed Central  Google Scholar 

  18. Joannidis M, Oudemans-van Straaten HM (2007) Clinical review: Patency of the circuit in continuous renal replacement therapy. Crit Care 11:218

    Article  PubMed  PubMed Central  Google Scholar 

  19. Page M, Rimmele T, Prothet J et al (2014) Impact of a program designed to improve continuous renal replacement therapy stability. Ann Fr Anesth Reanim 33:626–630

    Article  CAS  PubMed  Google Scholar 

  20. Barak M, Katz Y (2005) Microbubbles: pathophysiology and clinical implications. Chest 128:2918–2932

    Article  PubMed  Google Scholar 

  21. Cruz D, Bobek I, Lentini P et al (2009) Machines for continuous renal replacement therapy. Sem Dial 22:123–132

    Article  Google Scholar 

  22. Santhanakrishnan A, Nestle TT, Moore BL et al (2013) Development of an accurate fluid management system for a pediatric continuous renal replacement therapy device. ASAIO J 59:294–301

    Article  PubMed  Google Scholar 

  23. Fieghen HE, Friedrich JO, Burns KE et al (2010) The hemodynamic tolerability and feasibility of sustained low efficiency dialysis in the management of critically ill patients with acute kidney injury. BMC Nephrol 11:32

    Article  PubMed  PubMed Central  Google Scholar 

  24. Kim IB, Fealy N, Baldwin I et al (2011) Circuit start during continuous renal replacement therapy in vasopressor-dependent patients: the impact of a slow blood flow protocol. Blood Purif 32:1–6

    Article  CAS  PubMed  Google Scholar 

  25. van Oeveren W (2013) Obstacles in haemocompatibility testing. Scientifica (Cairo) 2013:392584

    Google Scholar 

  26. Oudemans-van Straaten HM (2007) Primum non nocere, safety of continuous renal replacement therapy. Curr Opin Crit Care 13:635–637

    Article  PubMed  Google Scholar 

  27. Brunet P, Jaber K, Berland Y et al (1992) Anaphylactoid reactions during hemodialysis and hemofiltration: role of associating AN69 membrane and angiotensin I-converting enzyme inhibitors. Am J Kidney Dis 19:444–447

    Article  CAS  PubMed  Google Scholar 

  28. Jones S (2004) Heat loss and continuous renal replacement therapy. AACN Clin Issues 15:223–230

    PubMed  Google Scholar 

  29. Rickard CM, Couchman BA, Hughes M, al at (2004) Preventing hypothermia during continuous veno-venous haemodiafiltration: a randomized controlled trial. J Adv Nurs 47:393–400

    Article  PubMed  Google Scholar 

  30. Morabito S, Pistolesi V, Tritapepe L et al (2014) Regional citrate anticoagulation for RRTs in critically ill patients with AKI. Clin J Am Soc Nephrol 9:2173–2188

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Hirsh J, Warkentin TE, Shaughnessy SG et al (2001) Heparin and low-molecular-weight heparin: mechanisms of action, pharmacokinetics, dosing, monitoring, efficacy, and safety. Chest 119:64S–94S

    Article  CAS  PubMed  Google Scholar 

  32. Schetz M (2001) Anticoagulation for continuous renal replacement therapy. Curr Opin Anaesthesiol 14:143–149

    Article  CAS  PubMed  Google Scholar 

  33. Zhang Z, Hongying N (2012) Efficacy and safety of regional citrate anticoagulation in critically ill patients undergoing continuous renal replacement therapy. Intensive Care Med 38:20–28

    Article  PubMed  Google Scholar 

  34. Wu MY, Hsu YH, Bai CH et al (2012) Regional citrate versus heparin anticoagulation for continuous renal replacement therapy: a meta-analysis of randomized controlled trials. Am J Kidney Dis 59:810–818

    Article  CAS  PubMed  Google Scholar 

  35. Claure-Del Granado R, Bouchard J (2012) Acid-base and electrolyte abnormalities during renal support for acute kidney injury: recognition and management. Blood Purif 34:186–193

    Article  PubMed  Google Scholar 

  36. Fall P, Szerlip HM (2010) Continuous renal replacement therapy: cause and treatment of electrolyte complications. Sem Dial 23:581–585

    Article  Google Scholar 

  37. Oudemans-van-Straaten H, Chua HR, Joannes-Boyau O, Bellomo R (2015) Metabolic aspects of CRRT. In: Oudemans-van Straaten HM, Forni LG, Groeneveld ABJ, Bagshaw SM, Joannidis M (eds) Acute Nephrology for the Critical Care Physician Part IV. Springer International, Heidelberg, pp 203–216

    Chapter  Google Scholar 

  38. Thompson AJ (2008) Drug dosing during continuous renal replacement therapies. J Pediatr Pharmacol Ther 13:99–113

    PubMed  PubMed Central  Google Scholar 

  39. Pea F, Viale P, Pavan F et al (2007) Pharmacokinetic considerations for antimicrobial therapy in patients receiving renal replacement therapy. Clin Pharmacokinet 46:997–1038

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S. De Rosa .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

De Rosa, S., Ferrari, F., Ronco, C. (2017). An Overview of Complications Associated with Continuous Renal Replacement Therapy in Critically Ill Patients. In: Vincent, JL. (eds) Annual Update in Intensive Care and Emergency Medicine 2017. Annual Update in Intensive Care and Emergency Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-51908-1_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-51908-1_11

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-51907-4

  • Online ISBN: 978-3-319-51908-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics