PMID- 17068727
OWN - NLM
STAT- MEDLINE
DCOM- 20070702
LR  - 20101118
IS  - 0393-5590 (Print)
IS  - 0393-5590 (Linking)
VI  - 23 Suppl 36
DP  - 2006 May-Jun
TI  - [Continuous renal replacement therapies (CRRT)].
PG  - S30-7
AB  - Several techniques are currently available in the continuous renal replacement 
      therapy (CRRT) spectrum, adhering to different clinical conditions and illness 
      severity. Commercially available machines have become more user-friendly, even 
      for non-dialysis staff however, nephrologists need specific knowledge to give an 
      adequate prescription that must be different from chronic hemodialysis. 
      Competence and experience in the technical possibilities of CRRT lead to an 
      individual ultra-filtration and treatment dose prescription. Clearances of 
      solutes with different molecular weight can be modulated by coupling (combining) 
      diffusion and convection, and by changing the fluid infusion rate. In addition, 
      CRRT has an important impact on metabolism with its cooling effect, removal of 
      nourishing substances and modification of electrolytic and acid-base balance. In 
      septic patients standard CRRT has no specific indications in the absence of acute 
      renal failure. Other extracorporeal therapies, such as high volume hemofiltration 
      coupled with plasma filtration-adsorption (CPFA), have been developed aiming for 
      a major influence on sepsis evolution. The versatility of CRRT has great value 
      not only in adapting the treatment schedule to clinical conditions, but also in 
      performing extracorporeal therapies in a wide array of logistical circumstances.
FAU - Canepari, G
AU  - Canepari G
AD  - S.C. Nefrologia e Dialisi, A.S.O. S. Croce e Carle, Cuneo. 
      canepari.g@ospedale.cuneo.it
FAU - Inguaggiato, P
AU  - Inguaggiato P
FAU - Gigliola, G
AU  - Gigliola G
FAU - Bainotti, S
AU  - Bainotti S
FAU - Formica, M
AU  - Formica M
LA  - ita
PT  - English Abstract
PT  - Journal Article
PT  - Review
TT  - Terapie sostitutive renali continue (CRRT).
PL  - Italy
TA  - G Ital Nefrol
JT  - Giornale italiano di nefrologia : organo ufficiale della Societa italiana di 
      nefrologia
JID - 9426434
SB  - IM
EIN - G Ital Nefrol. 2007 Nov-Dec;24(6):628-9
MH  - Acute Kidney Injury/*therapy
MH  - Humans
MH  - *Renal Replacement Therapy/adverse effects/methods/standards
MH  - Sepsis
RF  - 36
EDAT- 2006/10/28 09:00
MHDA- 2008/03/14 09:00
CRDT- 2006/10/28 09:00
PHST- 2006/10/28 09:00 [pubmed]
PHST- 2008/03/14 09:00 [medline]
PHST- 2006/10/28 09:00 [entrez]
PST - ppublish
SO  - G Ital Nefrol. 2006 May-Jun;23 Suppl 36:S30-7.