Continuous modalities of renal replacement therapy. Review of selected aspects.
Severe clinical course of acute renal and acute liver failure is recognized as life-threatening condition, often developing in critically ill patients, demanding intensive care. Continuous renal replacement techniques, including venovenous hemodialysis/hemofiltration/hemodiafiltration/ultrafiltration (CWHD/CWHF/CWHDF/SCUF) are becoming the therapeutic modality of choice in unstable patients with acute renal failure. Recently introduced new technique--albumin dialysis (MARS--Molecular Adsorbent Recirculating System) is a very useful extracorporeal method of detoxication in patients with acute liver or kidney/liver failure. It may also serve as bridge to liver transplantation in patients with rapidly deteriorating chronic liver failure. Indications, benefit/risk ratio and specific clinical and technical aspects are briefly described in this review paper.
Grenda
R
R
Department of Nephrology and Kidney Transplantation, Children's Memorial Health Institute, Warsaw, Poland. grenda@czd.waw.pl
D058186:Acute Kidney Injury / Q000628:therapy*; D006801:Humans; D017114:Liver Failure, Acute / Q000601:surgery / Q000628:therapy*; D016031:Liver Transplantation; D017582:Renal Replacement Therapy / Q000379:methods; D016896:Treatment Outcome