Current Canadian approaches to dialysis for acute renal failure in the ICU

American Journal of Nephrology
A Hyman, D C Mendelssohn

Abstract

Although there is a very high mortality rate (>50%) with acute renal failure (ARF) in the intensive care unit (ICU), there is no general consensus on the best dialysis treatment for this condition. We surveyed by mail questionnaire, all adult academic and community registered Canadian nephrology centers that offer treatment for ARF. The overall response rate was 59% (53/90). Comparing current dialysis methods with those utilized 5 years ago, the largest increase was in continuous renal replacement therapies (CRRT) (26 vs. 9%). Both intermittent hemodialysis (IHD) and peritoneal dialysis decreased in utilization. The predominant current CRRT methods utilized venovenous access (80%), as compared to 5 years ago when arteriovenous was the most common (52%). Despite data from chronic dialysis (and preliminary data in ARF) suggesting reduced mortality and morbidity with increasing dialysis dose, there was no formal method of dialysis prescription monitoring in over 75% of the centers. Notwithstanding a lack of definitive evidence of superior outcomes with CRRT compared to older methods, the utilization of CRRT is dramatically increasing for the treatment of ARF in Canada. Whether this shift towards CRRT, and whether more attention to...Continue Reading

Citations

May 20, 2008·Journal of Thrombosis and Thrombolysis·Chris E HolmesMary Cushman
Jan 14, 2004·Seminars in Dialysis·Valerie A Luyckx, Joseph V Bonventre
Mar 23, 2006·Seminars in Dialysis·Paul M Palevsky
Dec 21, 2012·Critical Care : the Official Journal of the Critical Care Forum·Charuhas V ThakarAnthony C Leonard
Mar 25, 2008·Therapeutics and Clinical Risk Management·Neesh Pannu, Rt Noel Gibney
Aug 21, 2007·Clinical Journal of the American Society of Nephrology : CJASN·Pamela OverbergerUNKNOWN VA/NIH Acute Renal Failure Trial Network
May 30, 2012·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Sérgio GaiãoDinna N Cruz
May 24, 2011·International Journal of Nephrology·Filippo MarianoGiorgio Triolo
Apr 9, 2008·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·Hugh T Davies, Gavin D Leslie
Oct 31, 2002·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Helmut Schiffl
Jan 31, 2006·Hemodialysis International·Ron WaldJoanne M Bargman
Jan 9, 2004·Clinics in Chest Medicine·Aldo J Peixoto
Feb 7, 2004·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Alain WynckelJacques Chanard
Jul 24, 2008·The Korean Journal of Internal Medicine·Woo Kvun BaeKi Chul Choi
Nov 15, 2018·Journal of Translational Internal Medicine·Patrick M HonoreHerbert D Spapen
Nov 2, 2006·Current Opinion in Critical Care·Shigehiko Uchino
Oct 6, 2006·Journal of the American Society of Nephrology : JASN·Kerry C ChoGlenn M Chertow
Dec 20, 2005·Expert Review of Medical Devices·Filippo MarianoGiorgio Triolo
Aug 25, 2006·Renal Failure·Daniela Ponce GabrielAndré Luís Balbi
Mar 2, 2011·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Jacob GeorgeRamdas Pisharody
Oct 24, 2002·Current Opinion in Nephrology and Hypertension·Helmut Schiffl
Nov 26, 2003·Current Opinion in Critical Care·W Van BiesenN Lameire
Mar 27, 2018·Therapeutic Apheresis and Dialysis : Official Peer-reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy·Abdullah Al-HwieshKhalid Al-Otaibi
May 22, 2003·The International Journal of Artificial Organs·P Passadakis, D Oreopoulos
Jun 19, 2004·The International Journal of Artificial Organs·T NakaL Wan
Dec 5, 2017·The Cochrane Database of Systematic Reviews·Linfeng LiuPing Fu
Dec 4, 2020·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Brett CullisFredric O Finkelstein
Aug 17, 2021·Canadian Journal of Kidney Health and Disease·Aidan LeheckaGavril Hercz
Nov 17, 2021·Kidney Research and Clinical Practice·Jung Nam AnYoung Rim Song

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