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Acute Renal Failure in the Critically Ill pp 385–406Cite as

Acute Renal Failure in the Intensive Care Unit: Which Treatment Is Best?

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Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 20))

Abstract

Since the clinical apphcation of continuous hemofihration techniques to the management of acute renal failure in critical illness, there has been persistent controversy as to which therapy (continuous hemofiltration or intermittent hemodialysis) constitutes the best form of renal replacement in the intensive care unit (ICU). Some of this controversy stems from a relative lack of interdisciplinary collaboration between critical care physicians and nephrologists, the former being ambivalent about their role in the management of acute renal failure and the latter often unwilling to accept the concept that critically ill patients with acute renal failure profoundly differ from those seen in nephrology wards. As a consequence, an adversarial relationship sometimes develops instead of the desirable collaboration directed at implementing “state of the art” care and innovative dialytic approaches. In addition, in some centers overburdened dialysis and intensive care facihties and physicians often do not have sufficient time and resources to tackle the complex problems related to acute renal failure management in the criticahy ill. In this chapter, we will analyze in detail the major aspects related this issue. We will also seek to provide a series of practical suggestions which we hope will guide clinicians as they face real clinical choices in their daily practice.

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  1. R. Bellomo
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  2. C. Ronco
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Editors and Affiliations

  1. Intensive Care Unit, Austin Hospital, 3084, Victoria, Australia

    Rinaldo Bellomo

  2. Dept. of Nephrology and Clinical Dialysis, St. Bartolo Hospital, 36100, Vicenza, Italy

    Claudio Ronco

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Bellomo, R., Ronco, C. (1995). Acute Renal Failure in the Intensive Care Unit: Which Treatment Is Best?. In: Bellomo, R., Ronco, C. (eds) Acute Renal Failure in the Critically Ill. Update in Intensive Care and Emergency Medicine, vol 20. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79244-1_19

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