Ultrafiltration in Japanese critically ill patients with acute kidney injury on renal replacement therapy

Journal of Intensive Care

Koichi Hayashi¹  Shigeki Fujitani¹  Toshihiko Suzuki²  Koichi Kitamura²  Raghavan Murugan³ 

[1] Department of Emergency and Critical Care Medicine, St. Marianna University School of Medicine, Kanagawa, Japan;Department of Nephrology, Endocrinology and Diabetes, Tokyo Bay Urayasu Ichikawa Medical Center, 3-4-32 Todaijima, 279-0001, Urayasu, Chiba, Japan;The Center for Critical Care Nephrology, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA;The Clinical Research, Investigation, and Systems Modeling of Acute Illness (CRISMA) Center, Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA;

关键词: Net ultrafiltration;    Diuretics;    Fluid overload;    Renal replacement therapy;   

DOI  :  10.1186/s40560-021-00590-4

来源: Springer

【 摘 要 】

A recent worldwide survey indicates an international diversity in net ultrafiltration (UFNET) practices for the treatment of fluid overload in critically ill patients with acute kidney injury (AKI) requiring renal replacement therapy (RRT). The sub-analysis of the survey has demonstrated that maximum doses of furosemide used before determination of diuretic resistance are lower in Japan than those prescribed worldwide and UFNET is lower but is initiated earlier. In contrast, the interval during which practitioners evaluate fluid balance is longer. The characterization of RRT in critically ill patients in Japan should unveil more appropriate approaches to the successful treatment of AKI.

【 授权许可】

CC BY