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Related Concept Videos

Continuous Renal Replacement Therapy01:30

Continuous Renal Replacement Therapy

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Continuous Renal Replacement Therapy, also known as CRRT, is a procedural treatment for acute kidney injury (AKI) that gradually removes uremic toxins and fluids while maintaining acid-base balance and stabilizing electrolytes. It is particularly useful for hemodynamically unstable patients. Unlike intermittent hemodialysis, which is faster, CRRT provides a gentler approach over 24 hours, closely mimicking the function of natural kidneys. However, CRRT is not ideal for patients with...
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Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications01:25

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Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
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Hemodialysis II: Procedure and Complications01:24

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DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
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Acute Kidney Injury V: Interprofessional Care01:20

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Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
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Chronic Kidney Disease III: Interprofessional Care01:28

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Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
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Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
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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
PubMed
Summary
This summary is machine-generated.

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.

Keywords:
CRRTICUacute kidney injuryacute kidney injury and ICU nephrologybleedingcircuitcomplicationsdialysisdrugselectrolytespneumothorax

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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.