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Nierenersatztherapie auf der Intensivstation

Renal replacement therapy in the intensive care unit

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Der Nephrologe Aims and scope

Zusammenfassung

Das akute Nierenversagen ist für den kritisch kranken Patienten auf Intensivstation trotz Weiterentwicklungen in der Intensivmedizin und Nierenersatztherapie nach wie vor eine schwerwiegende Komplikation. Unabhängig von der zugrundeliegenden Ursache ist es mit einer hohen Mortalität assoziiert. In der Übersichtsarbeit werden Inzidenz, Konsequenzen und aktuelle Möglichkeiten der Nierenersatztherapie dargelegt. Diskutiert wird auch der Zeitpunkt des Beginns der Nierenersatztherapie sowie die Auswahl des geeigneten Nierenersatzverfahrens und der geeigneten Therapiedosis.

Abstract

Despite improvements in intensive care medicine and renal replacement therapy, acute renal failure in the critically ill patient in the intensive care unit is still associated with a high mortality, independent of the underlying aetiology. In this overview, we address the incidence, consequences, and options for renal replacement therapy. Furthermore, we discuss the timing of initiation of such therapy, patient outcomes with different renal replacement therapies, and the appropriate dialysis dose to be delivered.

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  1. Nierenzentrum Heidelberg, Medizinische Universitätsklinik, Im Neuenheimer Feld 162, 69120, Heidelberg, Deutschland

    V. Schwenger

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  1. V. Schwenger
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Correspondence to V. Schwenger.

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Schwenger, V. Nierenersatztherapie auf der Intensivstation. Nephrologe 4, 128–134 (2009). https://doi.org/10.1007/s11560-008-0239-7

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  • DOI: https://doi.org/10.1007/s11560-008-0239-7

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