title: Renal replacement therapy in adult and pediatric intensive care : Recommendations by an expert panel from the French Intensive Care Society (SRLF) with the French Society of Anesthesia Intensive Care (SFAR) French Group for Pediatric Intensive Care Emergencies (GFRUP) the French Dialysis Society (SFD).
abstract: Acute renal failure (ARF) in critically ill patients is currently very frequent and requires renal replacement therapy (RRT) in many patients. During the last 15 years, several studies have considered important issues regarding the use of RRT in ARF, like the time to initiate the therapy, the dialysis dose, the types of catheter, the choice of technique, and anticoagulation. However, despite an abundant literature, conflicting results do not provide evidence on RRT implementation. We present herein recommendations for the use of RRT in adult and pediatric intensive care developed with the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system by an expert group of French Intensive Care Society (SRLF), with the participation of the French Society of Anesthesia and Intensive Care (SFAR), the French Group for Pediatric Intensive Care and Emergencies (GFRUP), and the French Dialysis Society (SFD). The recommendations cover 4 fields: criteria for RRT initiation, technical aspects (access routes, membranes, anticoagulation, reverse osmosis water), practical aspects (choice of the method, peritoneal dialysis, dialysis dose, adjustments), and safety (procedures and training, dialysis catheter management, extracorporeal circuit set-up). These recommendations have been designed on a practical point of view to provide guidance for intensivists in their daily practice.
authors.affiliation: Réanimation polyvalente, CH Melun, 77000, Melun, France. christophe.vinsonneau@ch-melun.fr.
authors.forename: Christophe
authors.initials: C
authors.lastname: Vinsonneau
authors.affiliation: CHU Nantes, Nantes, France. emma.allainlaunay@chu-nantes.fr.
authors.forename: Emma
authors.initials: E
authors.lastname: Allain-Launay
authors.affiliation: CHU Tenon, 75020, Paris, France. clarisse.blayau@tnn.aphp.fr.
authors.forename: Clarisse
authors.initials: C
authors.lastname: Blayau
authors.affiliation: CHU Saint-Etienne, 42055, Saint-Etienne, France. michael.darmon@chu-st-etienne.fr.
authors.forename: Michael
authors.initials: M
authors.lastname: Darmon
authors.affiliation: CHU Caen, 14033, Caen, France. ducheyron-d@chu-caen.fr.
authors.forename: Damien
authors.initials: D
authors.lastname: Ducheyron
authors.affiliation: CHU Rennes, 35000, Rennes, France. theophile.gaillot@chu-rennes.fr.
authors.forename: Theophile
authors.initials: T
authors.lastname: Gaillot
authors.affiliation: Intensive Care Department, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium. patrick.honore@uzbrussel.be.
authors.forename: Patrick M
authors.initials: PM
authors.lastname: Honore
authors.affiliation: Réanimation pédiatrique spécialisée, CHU Lyon, 69677, Bron, France. etienne.javouhey@chu-lyon.fr.
authors.forename: Etienne
authors.initials: E
authors.lastname: Javouhey
authors.affiliation: CHRU Strasbourg, Strasbourg, France. thierry.krummel@chru-strasbourg.fr.
authors.forename: Thierry
authors.initials: T
authors.lastname: Krummel
authors.affiliation: CHRU Lille, Lille, France. annie.lahoche@chru-lille.fr.
authors.forename: Annie
authors.initials: A
authors.lastname: Lahoche
authors.affiliation: CHU Nancy, Nancy, France. s.letacon@chu-nancy.fr.
authors.forename: Serge
authors.initials: S
authors.lastname: Letacon
authors.affiliation: CHU Saint-Louis Lariboisière, Paris, France. matthieu.legrand@sls.aphp.fr.
authors.forename: Matthieu
authors.initials: M
authors.lastname: Legrand
authors.affiliation: Réanimation polyvalente, CH Melun, 77000, Melun, France. mn.monchi@gmail.com.
authors.forename: Mehran
authors.initials: M
authors.lastname: Monchi
authors.affiliation: CHU Tenon, 75020, Paris, France. christophe.ridel@gmail.com.
authors.forename: Christophe
authors.initials: C
authors.lastname: Ridel
authors.affiliation: CHU Poitiers, Poitiers, France. rene.robert@chu-poitiers.fr.
authors.forename: René
authors.initials: R
authors.lastname: Robert
authors.affiliation: CHU Mondor, 94000, Créteil, France. frederique.schortgen@hmn.aphp.fr.
authors.forename: Frederique
authors.initials: F
authors.lastname: Schortgen
authors.affiliation: CHU Clermont-Ferrand, Clermont-Ferrand, France. bsouweine@chu-clermontferrand.fr.
authors.forename: Bertrand
authors.initials: B
authors.lastname: Souweine
authors.affiliation: CHU Necker, 75000, Paris, France. patrick.vaillant@nck.aphp.fr.
authors.forename: Patrick
authors.initials: P
authors.lastname: Vaillant
authors.affiliation: CHU Marseille, Marseille, France. lionel.velly@ap-hm.fr.
authors.forename: Lionel
authors.initials: L
authors.lastname: Velly
authors.affiliation: CHU Bicêtre, 94, Le Kremlin Bicêtre, France. david.osman@bct.aphp.fr.
authors.forename: David
authors.initials: D
authors.lastname: Osman
authors.affiliation: Réanimation polyvalente, CH Melun, 77000, Melun, France. vong.lvp@free.fr.
authors.forename: Ly
authors.initials: L
authors.lastname: Van Vong
keywords: Anticoagulation; Citrate; Continuous renal replacement therapy; Dialysis dose; Hemodialysis; Recommendations; Renal replacement therapy