Aspects of Renal Failure in Intensive Care

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Introduction

 
Renal failure in the intensive care unit invariably involves at least one other organ dysfunction or failure, and carries a mortality of up to 70% in this setting.  The advent of continuous renal replacement therapies has revolutionized this aspect of care.

The decision to commence a patient on continuous renal replacement therapy is often not based on clear indicators (see below) and it should always be discussed with the duty intensive care specialist.

The Nephrology Department should be notified of any patient that might need ongoing renal support beyond the acute critical care period.

 

Page last reviewed: 13 May 2014