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Complications Associated with Continuous RRT
Samir C Gautam1, Jonathan Lim1,2, Bernard G Jaar1,2,3,4
1Department of Medicine, Division of Nephrology, Johns Hopkins School of Medicine, Baltimore, Maryland.
Kidney360
|December 14, 2022
Summary
Continuous renal replacement therapy (CRRT) in intensive care units (ICUs) manages acute kidney injury and other conditions. Recognizing and managing CRRT complications, which vary in severity, is crucial for patient safety.
Area of Science:
- Nephrology
- Critical Care Medicine
Background:
- Continuous renal replacement therapy (CRRT) is a cornerstone of intensive care unit (ICU) management for acute kidney injury (AKI), end-stage kidney disease (ESKD), poisonings, and electrolyte disorders.
- CRRT has significantly advanced patient care in ICUs over recent decades.
- Effective management requires awareness of potential CRRT-associated complications.
Purpose of the Study:
- To review and discuss significant complications associated with CRRT.
- To provide an up-to-date perspective on managing these complications.
- To address complications arising at different stages of CRRT management.
Main Methods:
- Literature review and synthesis of current knowledge on CRRT complications.
- Analysis of complications related to dialysis factors and patient-specific factors.
- Discussion of emerging complications associated with newer CRRT solutions.
Main Results:
- CRRT-associated complications range from minor to life-threatening.
- Complications can be influenced by both dialysis parameters and individual patient characteristics.
- Newer CRRT solutions may introduce novel complications.
Conclusions:
- Vigilance regarding CRRT complications is essential in the ICU setting.
- A comprehensive understanding of CRRT-related issues aids in optimizing patient outcomes.
- Ongoing research and adaptation are necessary to manage evolving CRRT-related challenges.
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