Acute Crit Care.
2025 Feb;40(1):1-9. 10.4266/acc.004896.
Dialysis decision in critically ill patients in intensive care unit
- Rhee H
1,2
- Affiliations
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- 1Department of Nephrology, Pusan National University School of Medicine, Yangsan, Korea
- 2Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
- KMID: 2569406
- DOI: http://doi.org/10.4266/acc.004896
Abstract
- The 2012 Kidney Disease Improving Global Outcomes guidelines clearly define emergent indications for kidney replacement therapy; however, whether dialysis should be initiated in critically ill patients without these indications remains unclear. This review briefly summarizes the results of recent landmark trials and discusses their limitations originating from a criteria-based approach at a single time point. Moreover, a personalized approach based on each patient’s demand-capacity balance and its future benefits as a platform for kidney support therapy in critically ill patients are discussed.
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