Continuous Renal Replacement Therapy

In the past decade, CRRT has moved from a niche therapy within specific specialty centers to the standard of care for management of critically ill patients with acute renal failure. Continuous Renal Replacement Therapy provides concise, evidence-based, to-the-point bedside guidance about this treatment modality, offering quick reference answers to clinicians' questions about treatments and situations encountered in daily practice. Organized into sections on Theory; Pratice; Special Situations; and Organizational Issues, Continuous Renal Replacement Therapy provides a complete view of CRRT theory and practice. Generous tables summarize and highlight key points, and key studies and trials are listed in each chapter.

Section 1: Theory1. The critically ill patient with acute kidney injury2. History and rationale for CRRT3. Terminology and nomenclature4. Basic principles of solute transport5. Principles of fluid management6. Indications, timing and patient selection7. Extended indications for CRRT8. Dose adequacy and assessment9. Acid-base and electrolyte disordersSection 2: Practice10. Choosing a renal replacement therapy in AKI11. Vascular access for continuous renal replacement therapy12. The circuit and the prescription13. The membrane: size and material14. Fluids for continuous renal replacement therapy15. Alarms and troubleshooting16. Non anticoagulation strategies to optimise circuit function in RRT17. Anticoagulation18. Regional Citrate Anticoagulation19. Drug dosing in CRRTSection 3: Special Situations20. Renal replacement therapy in children21. Therapeutic plasma exchange in critical care medicine22. MARS: molecular adsorbent recirculating system23. Sorbents24. Hybrid therapiesSection 4: Organizational issues25. The ICU environment26. Patient care quality and teamwork27. Organizational aspects: developing policies and procedures for continuous renal replacement therapies28. Documentation, billing and reimbursement for continuous renal replacement therapy29. Machines for CRRT30. Quality assurance for continuous renal replacement therapies31. Educational resources