Sign up & Download
Sign in

Continuous haemofiltration in the intensive care unit.

by R Bellomo, C Ronco
Critical care (London, England) ()

Abstract

Continuous renal replacement therapy (CRRT) was first described in 1977 for the treatment of diuretic-unresponsive fluid overload in the intensive care unit (ICU). Since that time this treatment has undergone a remarkable technical and conceptual evolution. It is now available in most tertiary ICUs around the world and has almost completely replaced intermittent haemodialysis (IHD) in some countries. Specially made machines are now available, and venovenous therapies that use blood pumps have replaced simpler techniques. Although, it remains controversial whether CRRT decreases mortality when compared with IHD, much evidence suggests that it is physiologically superior. The use of CRRT has also spurred renewed interest in the broader concept of blood purification, particularly in septic states. Experimental evidence suggests that this is a promising approach to the management of septic shock in critically ill patients. The evolution and use of CRRT is likely to continue and grow over the next decade.

Cite this document (BETA)

Readership Statistics

39 Readers on Mendeley
by Discipline
 
 
 
by Academic Status
 
18% Student (Postgraduate)
 
15% Ph.D. Student
 
15% Other Professional
by Country
 
3% Colombia
 
3% Spain
 
3% Egypt

Sign up today - FREE

Mendeley saves you time finding and organizing research. Learn more

  • All your research in one place
  • Add and import papers easily
  • Access it anywhere, anytime

Start using Mendeley in seconds!

Already have an account? Sign in