Management of acute renal failure in the intensive care unit

Leung, Ming T.; Forni, Lui G.

doi:10.1016/j.mpaic.2008.12.008

« Previous Next »Anaesthesia & intensive care medicine
Volume 10, Issue 3 , Pages 119-123, March 2009

Management of acute renal failure in the intensive care unit

Ming T Leung, MBBS, MCRP, is a Renal Registrar at Worthing Hospital. He qualified from the Royal Free Hospital School of Medicine and has worked in the Renal Department in King's College Hospital and Guy's and St Thomas' Hospital, London, UK. Conflicts of interest: none declared

Lui G Forni, BSc, PhD, MBBS, MRCPI, is Consultant Nephrologist and Intensivist at Worthing & Southlands Hospitals trust, UK. He qualified from St George's Hospital and his postgraduate training was principally at St Thomas' and St George's hospitals, London, UK. Research interests include acid base balance on the intensive care unit and the use of cardiopulmonary exercise testing in pre-operative assessment. Conflicts of interest: none declared

Abstract

Acute renal failure is common in the critically ill and, when necessary, is managed with renal replacement therapy. This article focuses on the use of extracorporeal renal support including modality, indications, dosing, anticoagulation, type of replacement fluid and drug dosing.

Keywords: acute kidney injury, acute renal failure, haemodialysis, haemofiltration, intensive care, renal replacement therapy