New realization of blood purification therapy in acute kidney injury

doi:10.3877/cma.j.issn.2095-3216.2013.03.005

Abstract

Abstract:

Acute kidney injury (AKI) induced by a variety of reasons is a common acute and severe clinical syndrome, which often leads to loss of renal function or death of the patients. Blood purification is frequently supplied in the treatment of AKI. It is not only a kind of renal replacement technology, but also plays a supporting role for multiple organ functions in critically ill patients. Giving the reasonable dosage of blood purification in time closely correlates to the survival of patients and recovery of renal function as well as their prognosis. But for different AKI patients, there are still many disputes about the blood purification models, the treatment doses, and when to start or terminate the treatment. In this review, we discuss the new realization and progress about blood purification therapy for AKI patients.

Key words: Acute kidney injury, Blood purification, Continuous renal replacement therapy

Wen-hu LIU. New realization of blood purification therapy in acute kidney injury[J]. Chinese Journal of Kidney Disease Investigation(Electronic Edition), 2013, 02(03): 129-133.

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References 23

1	Hoste EA, Kellum JA. RIFLE criteria provide robust assessment of kidney dysfunction and correlate with hospital mortality [J].Crit Care Med, 2006, 34(7): 2016-2017.
2	Hui-Stickle S, Brewer ED, Goldstein SL. Pediatric ARF epidemiology at a tertiary care center from 1999 to 2001 [J]. Am J Kidney Dis, 2005, 45(1): 96-101.
3	Chertow GM, Burdick E, Honour M, et al. Acute kidney injury,mortality, length of stay, and costs in hospitalized patients [J]. J Am Soc Nephrol, 2005, 16(11): 3365-3370.
4	Wu VC, Ko WJ, Chang HW, et al. Early renal replacement therapy in patients with postoperative acute liver failure associated with acute renal failure: effect on postoperative outcomes [J]. J Am Coll Surg, 2007, 205(2): 266-276.
5	Jacka MJ, Ivancinova X, Gibney RT. Continuous renal replacement therapy improves renal recovery from acute renal failure [J]. Can J Anaesth, 2005, 52(3): 327-332.
6	Rabindranath K, Adams J, Macleod AM, et al. Intermittent versus continuous renal replacement therapy for acute renal failure in adults [J/CD]. Cochrane Database Syst Rev, 2007, (3):CD003773.
7	Lin CM, Lin JW, Tsai JT, et al. Intracranial pressure fluctuation during hemodialysis in renal failure patients with intracranial hemorrhage [J]. Acta Neurochir Suppl, 2008, 101: 141-144.
8	Lins RL, Elseviers MM, Van der Niepen P, et al. Intermittent versus continuous renal replacement therapy for acute kidney injury patients admitted to the intensive care unit: results of a randomized clinical trial [J]. Nephrol Dial Transplant, 2009,24(2): 512-518.
9	De Smedt DM, Elseviers MM, Lins RL, et al. Economic evaluation of different treatment modalities in acute kidney injury[J]. Nephrol Dial Transplant, 2012, 27(11): 4095-4101.
10	Fieghen HE, Friedrich JO, Burns KE, et al. The hemodynamic tolerability and feasibility of sustained low efficiency dialysis in the management of critically ill patients with acute kidney injury [J].BMC Nephrol, 2010, 11: 32.
11	Oh HJ, Park JT, Kim JK, et al. Red blood cell distribution width is an independent predictor of mortality in acute kidney injury patients treated with continuous renal replacement therapy [J].Nephrol Dial Transplant, 2012, 27(2): 589-594.
12	Sugahara S, Suzuki H. Early start on continuous hemodialysis therapy improves survival rate in patients with acute renal failure following coronary bypass surgery [J]. Hemodial Int, 2004, 8(4):320-325.
13	Heung M, Wolfgram DF, Kommareddi M, et al. Fluid overload at initiation of renal replacement therapy is associated with lack of renal recovery in patients with acute kidney injury [J]. Nephrol Dial Transplant, 2012, 27(3): 956-961.
14	Shiao CC, Wu VC, Li WY, et al. Late initiation of renal replacement therapy is associated with worse outcomes in acute kidney injury after major abdominal surgery [J]. Crit Care, 2009,13(5): R171.
15	Shiao CC, Ko WJ, Wu VC, et al. U-curve association between timing of renal replacement therapy initiation and in-hospital mortality in postoperative acute kidney injury [J]. PLoS One,2012, 7(8): e42952.
16	Vats HS, Dart RA, Okon TR, et al. Does early initiation of continuous renal replacement therapy affect outcome: experience in a tertiary care center [J]. Ren Fail, 2011, 33(7): 698-706.
17	Uchino S, Bellomo R, Morimatsu H, et al. Discontinuation of continuous renal replacement therapy: a post hoc analysis of a prospective multicenter observational study [J]. Crit Care Med,2009, 37(9): 2576-2582.
18	Boussekey N, Chiche A, Faure K, et al. A pilot randomized study comparing high and low volume hemofiltration on vasopressor use in septic shock [J]. Intensive Care Med, 2008, 34(9): 1646-1653.
19	Ronco C, Bellomo R, Homel P, et al. Effects of different doses in continuous veno-venous haemofiltration on outcomes of acute renal failure: a prospective randomised trial [J]. Lancet, 2000,356(9223): 26-30.
20	Palevsky PM, Zhang JH, O'Connor TZ, et al. Intensity of renal support in critically ill patients with acute kidney injury [J]. N Engl J Med, 2008, 359(1): 7-20.
21	Bellomo R, Cass A, Cole L, et al. Intensity of continuous renalreplacement therapy in critically ill patients [J]. N Engl J Med,2009, 361(17): 1627-1638.
22	Bonventre JV. Dialysis in acute kidney injury--more is not better[J]. N Engl J Med, 2008, 359(1): 82-84.
23	Wu VC, Ko WJ, Chang HW, et al. Risk factors of early redialysis after weaning from postoperative acute renal replacement therapy[J]. Intensive Care Med, 2008, 34(1): 101-108.

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