The Role of Sustained Low-Efficiency Dialysis (SLED) in the Intensive Care Unit
Renal replacement therapies are frequently used in the intensive care unit, most often in patients with severe acute kidney injury, a common complication in this setting. The choice of a prolonged intermittent renal replacement therapy (PIRRT) has grown in its popularity. Nevertheless, not all clini...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Publicações Ciência e Vida
2022-10-01
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| Series: | Revista Portuguesa de Nefrologia e Hipertensão |
| Subjects: | |
| Online Access: | https://cdn02.spnefro.pt/pjnh/85/Nefro363REVIEWARTICLETheroleofsustainedlowefficiencydialysisED4.pdf |
| Summary: | Renal replacement therapies are frequently used in the intensive care unit, most often in patients with severe acute kidney injury, a common complication in this setting. The choice of a prolonged intermittent renal replacement therapy (PIRRT) has grown in its popularity. Nevertheless, not all clinicians are familiar with it. The most frequently performed PIRRT is sustained low-efficiency dialysis. The aim of this article
is to review the sustained low-efficiency dialysis technique, namely the necessary machinery, the prescription specificities, its complications
and the particularities related to intoxications and drug dosing. Lastly, when to start sustained low-efficiency dialysis and its advantages and
disadvantages over intermittent hemodialysis and continuous renal replacement therapies is discussed. |
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| ISSN: | 0872-0169 2183-1289 |