Dialysis decision in critically ill patients in intensive care unit.

Acute Crit Care

Department of Nephrology, Pusan National University School of Medicine, Yangsan, Korea.

Published: February 2025

The 2012 Kidney Disease Improving Global Outcomes guidelines clearly define emergent indications for kidney replacement therapy; however, whether dialysis should be initiated in critically ill patients without these indications remains unclear. This review briefly summarizes the results of recent landmark trials and discusses their limitations originating from a criteria-based approach at a single time point. Moreover, a personalized approach based on each patient's demand-capacity balance and its future benefits as a platform for kidney support therapy in critically ill patients are discussed.

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Source
http://dx.doi.org/10.4266/acc.004896DOI Listing

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