Dialysis decision in critically ill patients in intensive care unit

The 2012 Kidney Disease Improving Global Outcomes guidelines clearly define emergent indications for kidney replacement therapy; however, whether dialysis should be initiated in critically ill patients without these indications remains unclear. This review briefly summarizes the results of recent la...

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Main Author: Harin Rhee
Format: Article
Language:English
Published: Korean Society of Critical Care Medicine 2025-02-01
Series:Acute and Critical Care
Subjects:
Online Access:http://www.accjournal.org/upload/pdf/acc-004896.pdf
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author Harin Rhee
author_facet Harin Rhee
author_sort Harin Rhee
collection DOAJ
description The 2012 Kidney Disease Improving Global Outcomes guidelines clearly define emergent indications for kidney replacement therapy; however, whether dialysis should be initiated in critically ill patients without these indications remains unclear. This review briefly summarizes the results of recent landmark trials and discusses their limitations originating from a criteria-based approach at a single time point. Moreover, a personalized approach based on each patient’s demand-capacity balance and its future benefits as a platform for kidney support therapy in critically ill patients are discussed.
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institution DOAJ
issn 2586-6052
2586-6060
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publishDate 2025-02-01
publisher Korean Society of Critical Care Medicine
record_format Article
series Acute and Critical Care
spelling doaj-art-2e7daa74150c44d089406f380e220ea32025-08-20T03:06:02ZengKorean Society of Critical Care MedicineAcute and Critical Care2586-60522586-60602025-02-014011910.4266/acc.0048961586Dialysis decision in critically ill patients in intensive care unitHarin Rhee0 Department of Nephrology, Pusan National University School of Medicine, Yangsan, KoreaThe 2012 Kidney Disease Improving Global Outcomes guidelines clearly define emergent indications for kidney replacement therapy; however, whether dialysis should be initiated in critically ill patients without these indications remains unclear. This review briefly summarizes the results of recent landmark trials and discusses their limitations originating from a criteria-based approach at a single time point. Moreover, a personalized approach based on each patient’s demand-capacity balance and its future benefits as a platform for kidney support therapy in critically ill patients are discussed.http://www.accjournal.org/upload/pdf/acc-004896.pdfacute kidney injurycritical illnesskidney replacement therapykidney support therapytime-to-treatment
spellingShingle Harin Rhee
Dialysis decision in critically ill patients in intensive care unit
Acute and Critical Care
acute kidney injury
critical illness
kidney replacement therapy
kidney support therapy
time-to-treatment
title Dialysis decision in critically ill patients in intensive care unit
title_full Dialysis decision in critically ill patients in intensive care unit
title_fullStr Dialysis decision in critically ill patients in intensive care unit
title_full_unstemmed Dialysis decision in critically ill patients in intensive care unit
title_short Dialysis decision in critically ill patients in intensive care unit
title_sort dialysis decision in critically ill patients in intensive care unit
topic acute kidney injury
critical illness
kidney replacement therapy
kidney support therapy
time-to-treatment
url http://www.accjournal.org/upload/pdf/acc-004896.pdf
work_keys_str_mv AT harinrhee dialysisdecisionincriticallyillpatientsinintensivecareunit