Complications Associated with Continuous RRT.

Samir C Gautam, Jonathan Lim, Bernard G Jaar

Journal: Kidney360 2022;3(11):1980-1990

PMID: 36514412

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Abstract

Continuous renal replacement therapy (CRRT) is a form of renal replacement therapy that is used in modern intensive care units (ICUs) to help manage acute kidney injury (AKI), end stage kidney disease (ESKD), poisonings, and some electrolyte disorders. CRRT has transformed the care of patients in the ICU over the past several decades. In this setting, it is important to recognize CRRT-associated complications but also up-to-date management of these complications. Some of these complications are minor, but others may be more significant and even life-threatening. Some CRRT complications may be related to dialysis factors and others to specific patient factors. Our overarching goal in this article is to review and discuss the most significant CRRT-related complications at the different stage of management of CRRT. With the advent of newer solutions, there have been newer complications as well.

Address: Department of Medicine, Division of Nephrology, Johns Hopkins School of Medicine, Baltimore, Maryland.; Nephrology Center of Maryland, Baltimore, Maryland.; Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, Maryland.; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.

DOI: 10.34067/KID.0000792022

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MeSH Terms: Humans, Continuous Renal Replacement Therapy, Renal Dialysis, Renal Replacement Therapy, Acute Kidney Injury, Intensive Care Units