ISCCM Guidelines on Acute Kidney Injury and Renal Replacement Therapy

Rajesh C Mishra; Kanwalpreet Sodhi; Kowdle Chandrasekhar Prakash; Niraj Tyagi; Gunjan Chanchalani; Rajeev A Annigeri; Deepak Govil; Raymond D Savio; Balasubramanian Subbarayan; Nitin Arora; Ranajit Chatterjee; Jose Chacko; Ruchira W Khasne; Rajasekara M Chakravarthi; Nita George; Ahsan Ahmed; Yash Javeri; Akshay K Chhallani; Reshu G Khanikar; Saravanan Margabandhu; Ahsina J Lopa; Dhruva Chaudhry; Srinivas Samavedam; Arindam Kar; Subhal B Dixit; Palepu Gopal

doi:10.5005/jp-journals-10071-24109

ISCCM Guidelines on Acute Kidney Injury and Renal Replacement Therapy

Indian J Crit Care Med. 2022 Oct;26(Suppl 2):S13-S42. doi: 10.5005/jp-journals-10071-24109.

Authors

Rajesh C Mishra¹, Kanwalpreet Sodhi², Kowdle Chandrasekhar Prakash³, Niraj Tyagi⁴, Gunjan Chanchalani⁵, Rajeev A Annigeri⁶, Deepak Govil⁷, Raymond D Savio⁸, Balasubramanian Subbarayan⁶, Nitin Arora⁹, Ranajit Chatterjee¹⁰, Jose Chacko¹¹, Ruchira W Khasne¹², Rajasekara M Chakravarthi¹³, Nita George¹⁴, Ahsan Ahmed¹⁵, Yash Javeri¹⁶, Akshay K Chhallani¹⁷, Reshu G Khanikar¹⁸, Saravanan Margabandhu⁶, Ahsina J Lopa¹⁹, Dhruva Chaudhry²⁰, Srinivas Samavedam²¹, Arindam Kar²², Subhal B Dixit²³, Palepu Gopal²⁴

Affiliations

¹ EPIC Hospital, Sanjivani Super Speciality Hospital, Ahmedabad, Gujarat, India.
² Department of Critical Care, Deep Hospital, Ludhiana, Punjab, India.
³ Apollo Hospital, Chennai, Tamil Nadu, India.
⁴ Institute of Critical Care Medicine, Sir Ganga Ram Hospital, New Delhi, India.
⁵ Department of Critical Care Medicine, Mumbai, Maharashtra, India.
⁶ Department of Nephrology, Apollo Hospital, Chennai, Tamil Nadu, India.
⁷ Institute of Critical Care and Anaesthesiology, Medanta, Gurugram, Haryana, India.
⁸ Department of Critical Care Medicine, Apollo Proton Cancer Centre, Chennai, Tamil Nadu, India.
⁹ Department of Intensive Care, University Hospitals Birmingham, Birmingham, West Midlands, United Kingdom.
¹⁰ Department of Anaesthesiology and Critical Care, Swami Dayanand Hospital, New Delhi, India.
¹¹ Narayana Health City, Bengaluru, Karnataka, India.
¹² Department of Critical Care Medicine, SMBT Institute of Medical Sciences and Research Centre, Nashik, Maharashtra, India.
¹³ Department of Nephrology, Star Hospitals, Renown Clinical Services, Hyderabad, Telangana, India.
¹⁴ VPS Lakeshore Hospital, Kochi, Kerala, India.
¹⁵ KPC Medical College and Hospital, Kolkata, West Bengal, India.
¹⁶ Department of Critical Care, Anesthesia and Emergency Medicine, Regency Super Speciality Hospital, Lucknow, Uttar Pradesh, India.
¹⁷ Apollo Hospital, Navi Mumbai, Maharashtra, India.
¹⁸ Department of Critical Care Medicine, Health City Hospital, Guwahati, Assam, India.
¹⁹ Intensive Care Unit, MH Samorita Hospital and Medical College, Tejgaon, Dhaka, Bangladesh.
²⁰ PGIMS, Rohtak, Haryana, India.
²¹ Department of Critical Care, Vrinchi Hospital, Hyderabad, Telangana, India.
²² Reliance Hospital, Mumbai, Maharashtra, India.
²³ Department of Critical Care, Sanjeevan and MJM Hospital, Pune, Maharashtra, India.
²⁴ Department of Critical Care Medicine, Continental Hospitals, Hyderabad, Telangana, India.

Abstract

Acute kidney injury (AKI) is a complex syndrome with a high incidence and considerable morbidity in critically ill patients. Renal replacement therapy (RRT) remains the mainstay of treatment for AKI. There are at present multiple disparities in uniform definition, diagnosis, and prevention of AKI and timing of initiation, mode, optimal dose, and discontinuation of RRT that need to be addressed. The Indian Society of Critical Care Medicine (ISCCM) AKI and RRT guidelines aim to address the clinical issues pertaining to AKI and practices to be followed for RRT, which will aid the clinicians in their day-to-day management of ICU patients with AKI.

How to cite this article: Mishra RC, Sodhi K, Prakash KC, Tyagi N, Chanchalani G, Annigeri RA, et al. ISCCM Guidelines on Acute Kidney Injury and Renal Replacement Therapy. Indian J Crit Care Med 2022;26(S2):S13-S42.

Keywords: Acute kidney injury; Biomarkers; Continuous renal replacement therapy (CRRT); ECMO; Guidelines; Renal replacement therapy.