Dialysis Membranes for Acute Kidney Injury

Mortality and morbidity rates among critically ill septic patients having acute kidney injury (AKI) are very high, considering the total number of deaths after their admission. Inappropriate selection of the type of continuous renal replacement therapy and inadequate therapy become the immediate cau...

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Main Authors: Yanuardi Raharjo, Muhammad Nidzhom Zainol Abidin, Ahmad Fauzi Ismail, Mochamad Zakki Fahmi, Saiful, Muthia Elma, Djoko Santoso, Hamizah Haula’, Ahlan Riwahyu Habibi
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Membranes
Subjects:
Online Access:https://www.mdpi.com/2077-0375/12/3/325
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author Yanuardi Raharjo
Muhammad Nidzhom Zainol Abidin
Ahmad Fauzi Ismail
Mochamad Zakki Fahmi
Saiful
Muthia Elma
Djoko Santoso
Hamizah Haula’
Ahlan Riwahyu Habibi
author_facet Yanuardi Raharjo
Muhammad Nidzhom Zainol Abidin
Ahmad Fauzi Ismail
Mochamad Zakki Fahmi
Saiful
Muthia Elma
Djoko Santoso
Hamizah Haula’
Ahlan Riwahyu Habibi
author_sort Yanuardi Raharjo
collection DOAJ
description Mortality and morbidity rates among critically ill septic patients having acute kidney injury (AKI) are very high, considering the total number of deaths after their admission. Inappropriate selection of the type of continuous renal replacement therapy and inadequate therapy become the immediate causes of these issues. Dialysis is a commonly used treatment intended to prolong the life of AKI patients. Dialysis membranes, which are the core of dialysis treatment, must be properly selected to ensure fair treatment to the patients. The accumulation of certain types of molecules must be dealt with using the right membrane. Whether it is low-flux, high-flux, or adsorptive type, the dialysis membrane should be chosen depending on the condition of the patients. The selection of dialysis membranes should also be based on their effect on the treatment outcomes and well-being. All these options are needed to serve the patients of different clinical settings. The use of dialysis membranes is not restricted to conventional haemodialysis, but rather they can be employed in haemoperfusion, haemofiltration, haemodiafiltration, or a combination of any two of them. This review focuses in-depth on different types of dialysis membranes, their characteristics, and approaches in addressing the issues encountered in patients having AKI with sepsis and/or multiorgan failure in intensive care units.
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spelling doaj.art-e4bb902786a3411d95571b756f37172a2023-11-30T21:28:52ZengMDPI AGMembranes2077-03752022-03-0112332510.3390/membranes12030325Dialysis Membranes for Acute Kidney InjuryYanuardi Raharjo0Muhammad Nidzhom Zainol Abidin1Ahmad Fauzi Ismail2Mochamad Zakki Fahmi3Saiful4Muthia Elma5Djoko Santoso6Hamizah Haula’7Ahlan Riwahyu Habibi8Membrane Science and Technology Research Group (MSTRG), Chemistry Department, Faculty of Science and Technology, Universitas Airlangga, Surabaya 60115, IndonesiaDepartment of Chemistry, Faculty of Science, Universiti Malaya, Jalan Profesor Diraja Ungku Aziz, Kuala Lumpur 50603, MalaysiaAdvanced Membrane Technology Research Centre (AMTEC), Universiti Teknologi Malaysia, Skudai 81310, MalaysiaMembrane Science and Technology Research Group (MSTRG), Chemistry Department, Faculty of Science and Technology, Universitas Airlangga, Surabaya 60115, IndonesiaChemistry Department, Faculty of Mathematics and Natural Science, Syiah Kuala University, Banda Aceh 23111, IndonesiaChemical Engineering Department, Lambung Mangkurat University, Jl. A. Yani KM 36, Banjarbaru 70123, IndonesiaDivision of Nephrology and Hypertension, Dr. Soetomo Hospital, Faculty of Medicine, Universitas Airlangga, Surabaya 60115, IndonesiaMembrane Science and Technology Research Group (MSTRG), Chemistry Department, Faculty of Science and Technology, Universitas Airlangga, Surabaya 60115, IndonesiaMembrane Science and Technology Research Group (MSTRG), Chemistry Department, Faculty of Science and Technology, Universitas Airlangga, Surabaya 60115, IndonesiaMortality and morbidity rates among critically ill septic patients having acute kidney injury (AKI) are very high, considering the total number of deaths after their admission. Inappropriate selection of the type of continuous renal replacement therapy and inadequate therapy become the immediate causes of these issues. Dialysis is a commonly used treatment intended to prolong the life of AKI patients. Dialysis membranes, which are the core of dialysis treatment, must be properly selected to ensure fair treatment to the patients. The accumulation of certain types of molecules must be dealt with using the right membrane. Whether it is low-flux, high-flux, or adsorptive type, the dialysis membrane should be chosen depending on the condition of the patients. The selection of dialysis membranes should also be based on their effect on the treatment outcomes and well-being. All these options are needed to serve the patients of different clinical settings. The use of dialysis membranes is not restricted to conventional haemodialysis, but rather they can be employed in haemoperfusion, haemofiltration, haemodiafiltration, or a combination of any two of them. This review focuses in-depth on different types of dialysis membranes, their characteristics, and approaches in addressing the issues encountered in patients having AKI with sepsis and/or multiorgan failure in intensive care units.https://www.mdpi.com/2077-0375/12/3/325acute kidney injuryhaemodialysis membranemixed matrix membranehaemoperfusionadsorption
spellingShingle Yanuardi Raharjo
Muhammad Nidzhom Zainol Abidin
Ahmad Fauzi Ismail
Mochamad Zakki Fahmi
Saiful
Muthia Elma
Djoko Santoso
Hamizah Haula’
Ahlan Riwahyu Habibi
Dialysis Membranes for Acute Kidney Injury
Membranes
acute kidney injury
haemodialysis membrane
mixed matrix membrane
haemoperfusion
adsorption
title Dialysis Membranes for Acute Kidney Injury
title_full Dialysis Membranes for Acute Kidney Injury
title_fullStr Dialysis Membranes for Acute Kidney Injury
title_full_unstemmed Dialysis Membranes for Acute Kidney Injury
title_short Dialysis Membranes for Acute Kidney Injury
title_sort dialysis membranes for acute kidney injury
topic acute kidney injury
haemodialysis membrane
mixed matrix membrane
haemoperfusion
adsorption
url https://www.mdpi.com/2077-0375/12/3/325
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AT mochamadzakkifahmi dialysismembranesforacutekidneyinjury
AT saiful dialysismembranesforacutekidneyinjury
AT muthiaelma dialysismembranesforacutekidneyinjury
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