title: Handling continuous renal replacement therapy-related adverse effects in intensive care unit patients: the dialytrauma concept.
abstract: Continuous renal replacement therapy (CRRT) is increasingly used for the management of critically ill patients. As a consequence, the incidence of complications that accompany CRRT is also rising. However, a standardized approach for preventing or minimizing these adverse events is lacking. Dialytrauma is a newly proposed concept that encompasses all harmful adverse events related to CRRT while providing a framework for prevention or, at the least, early recognition of these events in order to attenuate the consequences. A mainstay of this approach is the utilization of a dedicated checklist for improving CRRT quality and patient safety. In this context, we discuss the most important adverse effects of CRRT and review current strategies to minimize them.
authors.affiliation: Department of Intensive Care Medicine, Santiago University Hospital, Vitoria, Spain. fjmaynar@gmail.com
authors.forename: J
authors.initials: J
authors.lastname: Maynar Moliner
authors.forename: P M
authors.initials: PM
authors.lastname: Honore
authors.forename: J A
authors.initials: JA
authors.lastname: Sánchez-Izquierdo Riera
authors.forename: M
authors.initials: M
authors.lastname: Herrera Gutiérrez
authors.forename: H D
authors.initials: HD
authors.lastname: Spapen
mesh_terms: D000137:Acid-Base Imbalance / Q000209:etiology; D058186:Acute Kidney Injury / Q000628:therapy*; D001777:Blood Coagulation; D016638:Critical Illness / Q000628:therapy*; D006439:Hemodynamics; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D017582:Renal Replacement Therapy / Q000009:adverse effects* / Q000379:methods*; D014883:Water-Electrolyte Imbalance / Q000209:etiology