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MINERVA UROLOGICA E NEFROLOGICA

A Journal on Nephrology and Urology


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Minerva Urologica e Nefrologica 2006 June;58(2):133-43

language: English

Renal replacement therapy for severe acute renal failure

Swartz R. D.

University of Michigan Health Systems Ann Arbor, MI, USA


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Acute renal failure (ARF) is a sentinel event that signals increased complexity and risk during the course of any general hospital admission. The initial diagnosis and specific treatment of the ARF already pose a daunting challenge, but the stakes are even higher when ARF is severe and renal replacement therapy (RRT) is needed. This paper addresses the onset and diagnosis of ARF only briefly and then turns to the specific choice and design of RRT modality that will optimize the ultimate outcome. Some guidelines are proposed since definitive standards for the treatment of severe ARF in critically ill patients are still evolving.

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