title: Renal support.
abstract: Renal support, intended as a refined and context-sensitive form of severe acute kidney injury management, might be achieved by administering renal replacement therapy with the correct timing and indication, correct prescription and, also, by the expertise and capacity of clinicians to tailor different RRTs to different patients. Furthermore, technical evolution and extended indications for extracorporeal treatments, currently allow the support of multiple organs, other than the isolated kidney failure. Unfortunately, current literature in the field of optimal management of severe acute kidney injury is controversial and lacks a standard of care. This review aims to describe the recent clinical, scientific and technical evolution of renal replacement therapy and the potential suggestive concept of multiple organ support therapy.
authors.affiliation: Department of Pediatric Cardiac Surgery, Bambino Gesù Children's Hospital, Rome, Italy. z.ricci@libero.it
authors.forename: Z
authors.initials: Z
authors.lastname: Ricci
authors.forename: S
authors.initials: S
authors.lastname: Romagnoli
authors.forename: C
authors.initials: C
authors.lastname: Ronco
mesh_terms: D058186:Acute Kidney Injury / Q000628:therapy*; D020811:Biomedical Technology; D003422:Critical Care; D006801:Humans; D007674:Kidney Diseases / Q000628:therapy*; D009102:Multiple Organ Failure / Q000628:therapy; D017582:Renal Replacement Therapy; D018805:Sepsis / Q000209:etiology / Q000628:therapy; D016896:Treatment Outcome