Continuous and intermittent renal replacement procedures are equally adequate therapies for acute kidney injury. The choice of modality should be made individually and on the basis of the specific clinical situation which may include switching between modalities during the course of treatment. In patients with haemodynamic instability or at risk of disequilibrium and cerebral edema CRRT or prolonged intermittent treatment may offer advantages whilst IHD should be preferred for the acute treatment of life-threatening electrolyte abnormalities or metabolic acidosis. Overall, the different modalities should be viewed as complementary.
© Georg Thieme Verlag Stuttgart · New York.