Continuous Renal Replacement Therapy: Case Vignettes

AACN Adv Crit Care. 2017 Spring;28(1):64-73. doi: 10.4037/aacnacc2017686.

Abstract

The most common indication for continuous renal replacement therapy (CRRT) in critically ill patients is acute kidney injury with hemodynamic instability. Typically, the patient has metabolic disturbances and potential or actual fluid overload that require intervention. Certain critical care diagnoses and/or conditions or therapies present unique CRRT management approaches. Case vignettes are used to present the unique management of CRRT in critically ill patients with rhabdomyolysis, heart failure, and respiratory failure requiring extracorporeal membrane oxygenation.

Keywords: CRRT; ECMO; continuous renal replacement therapy; extracorporeal membrane oxygenation; heart failure; rhabdomyolysis.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Case-Control Studies
  • Critical Care / methods*
  • Critical Illness / therapy*
  • Extracorporeal Membrane Oxygenation*
  • Female
  • Fluid Therapy*
  • Humans
  • Male
  • Middle Aged
  • Renal Insufficiency, Chronic / therapy*
  • Renal Replacement Therapy*