Indications and criteria for initiating renal replacement therapy in the intensive care unit.
Indications and criteria for initiating renal replacement therapy in the intensive care unit.
复制标题
在重症监护病房开始肾脏替代治疗的适应症和标准。
DOI：
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发表时间：
1998
期刊：
影响因子：
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通讯作者：
C. Ronco
中科院分区：
文献类型：
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作者：
R. Bellomo;C. Ronco
决定开始肾脏替代治疗通常是基于对危重患者护理中相互冲突的优先事项的仔细评估。由于缺乏关于在重症监护室（ICU）中应用肾脏替代疗法（RRT）的最佳标准和适应症的信息，因此特别困难。正如我们将在本文中讨论的那样，尽管近终末期肾衰竭患者开始透析治疗有几种历史悠久的适应症，但这些适应症可能不适用于急性肾衰竭（ARF）的管理。事实上，有几个原因可以证明在ICU中采取更积极的方法和更早的干预是合理的。
The decision to initiate renal replacement therapy is usually based on a careful assessment of conflicting priorities in the care of critically ill patients. It is particularly difficult because of the lack of information on what are the optimal criteria and indications for the application of renal replacement therapy (RRT) in the intensive care unit (ICU). As we will discuss in this paper, even though there are several time-honored indications for initiating dialytic therapy in patients with near end-stage renal failure, such indications may not apply to the management of acute renal failure (ARF). In fact, there are several reasons why a more aggressive approach and an earlier intervention may be justified in the ICU.