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Online ISSN 1827-1596
Ricci Z. 1, Romagnoli S. 2, Ronco C. 3, 4
1 Department of Pediatric Cardiac Surgery, Bambino Gesù Children’s Hospital, Rome, Italy;
2 Department of Cardiac and Vascular Anesthesia and Post-Surgical Intensive Care Unit, Careggi Hospital, Florence, Italy;
3 Department of Nephrology, Dialysis and Transplantation, St. Bortolo Hospital, Vicenza, Italy;
4 International Renal Research Insititute, Vicenza, Italy
Renal support, intended as a refined and context-sensitive form of severe acute kidney injury management, might be achieved by administering renal replacement therapy with the correct timing and indication, correct prescription and, also, by the expertise and capacity of clinicians to tailor different RRTs to different patients. Furthermore, technical evolution and extended indications for extracorporeal treatments, currently allow the support of multiple organs, other than the isolated kidney failure. Unfortunately, current literature in the field of optimal management of severe acute kidney injury is controversial and lacks a standard of care. This review aims to describe the recent clinical, scientific and technical evolution of renal replacement therapy and the potential suggestive concept of multiple organ support therapy.