PMID- 9312830 OWN - NLM STAT- MEDLINE DCOM- 19971001 LR - 20131121 IS - 0036-7672 (Print) IS - 0036-7672 (Linking) VI - 127 IP - 25 DP - 1997 Jun 21 TI - [Choice of renal replacement therapy]. PG - 1082-7 AB - Renal replacement therapies (RRT) for acute renal failure patients consist of continuous or intermittent methods. Continuous renal replacement therapies (CRRT) are used in 54% of centers. Determinant for the choice of the continuous versus intermittent method is the clinical status of the patients. Those who are hemodynamically unstable, who receive a large fluid intake, who are anuric, who present with severe and persistent metabolic disorders such as acidosis or hyperkaliemia, and who are in respiratory failure, are preferably treated with CRRT. Once the patient has improved, he can be switched to intermittent RRT (IRRT). Thus CRRT and IRRT are complementary approaches. Dialysis material should be biocompatible; the RRT method used should guarantee stable hemodynamics. Coping with these two requirements reduces the time duration of renal recovery, diminishes the need for catecholamines and may improve the survival rate. FAU - Favre, H AU - Favre H AD - Division de nephrologie, Hopial cantonal universitaire, Geneve. LA - fre PT - English Abstract PT - Journal Article PT - Review TT - Choix de la technique d'epuration extra-renale. PL - Switzerland TA - Schweiz Med Wochenschr JT - Schweizerische medizinische Wochenschrift JID - 0404401 RN - AYI8EX34EU (Creatinine) SB - IM MH - Acute Kidney Injury/mortality/physiopathology/*therapy MH - Creatinine/blood MH - Critical Care MH - Hemodynamics/physiology MH - Humans MH - Prognosis MH - Renal Replacement Therapy/*methods MH - Water-Electrolyte Balance/physiology RF - 19 EDAT- 1997/06/21 00:00 MHDA- 1997/10/06 00:01 CRDT- 1997/06/21 00:00 PHST- 1997/06/21 00:00 [pubmed] PHST- 1997/10/06 00:01 [medline] PHST- 1997/06/21 00:00 [entrez] PST - ppublish SO - Schweiz Med Wochenschr. 1997 Jun 21;127(25):1082-7.