Renal replacement therapy in acute kidney injury: controversy and consensus
Identifieur interne : 000119 ( Main/Exploration ); précédent : 000118; suivant : 000120Renal replacement therapy in acute kidney injury: controversy and consensus
Auteurs : Claudio Ronco [Italie] ; Zaccaria Ricci [Italie] ; Daniel De Backer [Belgique] ; John A. Kellum [États-Unis] ; Fabio S. Taccone [Belgique] ; Michael Joannidis [Autriche] ; Peter Pickkers [Pays-Bas] ; Vincenzo Cantaluppi [Italie] ; Franco Turani [Italie] ; Patrick Saudan [Suisse] ; Rinaldo Bellomo ; Olivier Joannes-Boyau [France] ; Massimo Antonelli [Italie] ; Didier Payen ; John R. Prowle ; Jean-Louis Vincent [Belgique]Source :
- Critical Care [ 1364-8535 ] ; 2015.
Abstract
Renal replacement therapies (RRTs) represent a cornerstone in the management of severe acute kidney injury. This area of intensive care and nephrology has undergone significant improvement and evolution in recent years. Continuous RRTs have been a major focus of new technological and treatment strategies. RRT is being used increasingly in the intensive care unit, not only for renal indications but also for other organ-supportive strategies. Several aspects related to RRT are now well established, but others remain controversial. In this review, we review the available RRT modalities, covering technical and clinical aspects. We discuss several controversial issues, provide some practical recommendations, and where possible suggest a research agenda for the future.
Url:
DOI: 10.1186/s13054-015-0850-8
PubMed: 25887923
PubMed Central: 4386097
Affiliations:
- Autriche, Belgique, France, Italie, Pays-Bas, Suisse, États-Unis
- Aquitaine, Latium, Nouvelle-Aquitaine, Pennsylvanie, Piémont, Tyrol (Land), Vienne (Autriche)
- Innsbruck, Pessac, Rome, Turin, Vienne (Autriche)
- Université de médecine d'Innsbruck, Université libre de Bruxelles
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Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Cantaluppi, Vincenzo" sort="Cantaluppi, Vincenzo" uniqKey="Cantaluppi V" first="Vincenzo" last="Cantaluppi">Vincenzo Cantaluppi</name><affiliation wicri:level="1"><nlm:aff id="Aff7">Nephrology, Dialysis and Kidney Transplantation Unit, University of Torino, Azienda Ospedaliera Universitaria ‘Città della Salute e della Scienza di Torino Presidio Molinette’, Corso Bramante 88, 10126 Turin, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Nephrology, Dialysis and Kidney Transplantation Unit, University of Torino, Azienda Ospedaliera Universitaria ‘Città della Salute e della Scienza di Torino Presidio Molinette’, Corso Bramante 88, 10126 Turin</wicri:regionArea><placeName><settlement type="city">Turin</settlement><region type="région" nuts="2">Piémont</region></placeName></affiliation></author><author><name sortKey="Turani, Franco" sort="Turani, Franco" uniqKey="Turani F" first="Franco" 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d’Anesthésie-Réanimation 2, Avenue de Magellan, F-33600, Pessac</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Pessac</settlement></placeName></affiliation></author><author><name sortKey="Antonelli, Massimo" sort="Antonelli, Massimo" uniqKey="Antonelli M" first="Massimo" last="Antonelli">Massimo Antonelli</name><affiliation wicri:level="1"><nlm:aff id="Aff12">Università Cattolica del Sacro Cuore - Policlinico Universitario A. Gemelli, Largo Agostino Gemelli 8, 00168 Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Università Cattolica del Sacro Cuore - Policlinico Universitario A. Gemelli, Largo Agostino Gemelli 8, 00168 Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Payen, Didier" sort="Payen, Didier" uniqKey="Payen D" first="Didier" last="Payen">Didier Payen</name><affiliation><nlm:aff id="Aff13">Department of Anesthesiology and Critical Care, Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris, University of Paris, 7 Denis Diderot, 75475, Paris, Cedex 10 France</nlm:aff><wicri:noCountry code="subfield">Cedex 10 France</wicri:noCountry></affiliation></author><author><name sortKey="Prowle, John R" sort="Prowle, John R" uniqKey="Prowle J" first="John R" last="Prowle">John R. 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Onofrio 4, 00165, Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Cardiology and Cardiac Surgery, Pediatric Cardiac Intensive Care Unit, Bambino Gesù Children’s Hospital, IRCCS, Piazza S. Onofrio 4, 00165, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="De Backer, Daniel" sort="De Backer, Daniel" uniqKey="De Backer D" first="Daniel" last="De Backer">Daniel De Backer</name><affiliation wicri:level="4"><nlm:aff id="Aff3">Department of Intensive Care, Erasme Hospital, Université libre de Bruxelles, Route de Lennik 808, 1070 Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Intensive Care, Erasme Hospital, Université libre de Bruxelles, Route de Lennik 808, 1070 Brussels</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName><orgName type="university">Université libre de Bruxelles</orgName></affiliation></author><author><name sortKey="Kellum, John A" sort="Kellum, John A" uniqKey="Kellum J" first="John A" last="Kellum">John A. Kellum</name><affiliation wicri:level="2"><nlm:aff id="Aff4">Center for Critical Care Nephrology, Department of Critical Care Medicine, University of Pittsburgh, 3550 Terrace Street, Pittsburgh, PA 15261 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Center for Critical Care Nephrology, Department of Critical Care Medicine, University of Pittsburgh, 3550 Terrace Street, Pittsburgh</wicri:cityArea></affiliation></author><author><name sortKey="Taccone, Fabio S" sort="Taccone, Fabio S" uniqKey="Taccone F" first="Fabio S" last="Taccone">Fabio S. Taccone</name><affiliation wicri:level="4"><nlm:aff id="Aff3">Department of Intensive Care, Erasme Hospital, Université libre de Bruxelles, Route de Lennik 808, 1070 Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Intensive Care, Erasme Hospital, Université libre de Bruxelles, Route de Lennik 808, 1070 Brussels</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName><orgName type="university">Université libre de Bruxelles</orgName></affiliation></author><author><name sortKey="Joannidis, Michael" sort="Joannidis, Michael" uniqKey="Joannidis M" first="Michael" last="Joannidis">Michael Joannidis</name><affiliation wicri:level="4"><nlm:aff id="Aff5">Division of Emergency and Intensive Care Medicine, Department of Internal Medicine, Medical University of Innsbruck, Anichstraße 35, 6020 Innsbruck, Austria</nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Division of Emergency and Intensive Care Medicine, Department of Internal Medicine, Medical University of Innsbruck, Anichstraße 35, 6020 Innsbruck</wicri:regionArea><orgName type="university">Université de médecine d'Innsbruck</orgName><placeName><settlement type="city">Innsbruck</settlement><region nuts="2" type="region">Tyrol (Land)</region></placeName></affiliation></author><author><name sortKey="Pickkers, Peter" sort="Pickkers, Peter" uniqKey="Pickkers P" first="Peter" last="Pickkers">Peter Pickkers</name><affiliation wicri:level="1"><nlm:aff id="Aff6">Department of Intensive Care Medicine, Radboud University Medical Centre, PO Box 9101, 6500 HB Nijmegen, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Intensive Care Medicine, Radboud University Medical Centre, PO Box 9101, 6500 HB Nijmegen</wicri:regionArea><wicri:noRegion>6500 HB Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Cantaluppi, Vincenzo" sort="Cantaluppi, Vincenzo" uniqKey="Cantaluppi V" first="Vincenzo" last="Cantaluppi">Vincenzo Cantaluppi</name><affiliation wicri:level="1"><nlm:aff id="Aff7">Nephrology, Dialysis and Kidney Transplantation Unit, University of Torino, Azienda Ospedaliera Universitaria ‘Città della Salute e della Scienza di Torino Presidio Molinette’, Corso Bramante 88, 10126 Turin, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Nephrology, Dialysis and Kidney Transplantation Unit, University of Torino, Azienda Ospedaliera Universitaria ‘Città della Salute e della Scienza di Torino Presidio Molinette’, Corso Bramante 88, 10126 Turin</wicri:regionArea><placeName><settlement type="city">Turin</settlement><region type="région" nuts="2">Piémont</region></placeName></affiliation></author><author><name sortKey="Turani, Franco" sort="Turani, Franco" uniqKey="Turani F" first="Franco" last="Turani">Franco Turani</name><affiliation wicri:level="1"><nlm:aff id="Aff8">Department of Intensive Care, Aurelia Hospital and European Hospital, Via Portuense 694, 00416 Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Intensive Care, Aurelia Hospital and European Hospital, Via Portuense 694, 00416 Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Saudan, Patrick" sort="Saudan, Patrick" uniqKey="Saudan P" first="Patrick" last="Saudan">Patrick Saudan</name><affiliation wicri:level="1"><nlm:aff id="Aff9">Service of Nephrology, Department of Internal Medicine Specialties, University Hospital of Geneva, 4 rue Gabrielle Perret-Gentil, CH 1211 Geneva, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Service of Nephrology, Department of Internal Medicine Specialties, University Hospital of Geneva, 4 rue Gabrielle Perret-Gentil, CH 1211 Geneva</wicri:regionArea><wicri:noRegion>CH 1211 Geneva</wicri:noRegion></affiliation></author><author><name sortKey="Bellomo, Rinaldo" sort="Bellomo, Rinaldo" uniqKey="Bellomo R" first="Rinaldo" last="Bellomo">Rinaldo Bellomo</name><affiliation><nlm:aff id="Aff10">Department of Intensive Care, Austin Hospital, 145 Studley Road, Heidelberg, Melbourne, VIC 3084 Australia</nlm:aff><wicri:noCountry code="subfield">VIC 3084 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Joannes Boyau, Olivier" sort="Joannes Boyau, Olivier" uniqKey="Joannes Boyau O" first="Olivier" last="Joannes-Boyau">Olivier Joannes-Boyau</name><affiliation wicri:level="3"><nlm:aff id="Aff11">Centre Hospitalier Universitaire (CHU) de Bordeaux, Service d’Anesthésie-Réanimation 2, Avenue de Magellan, F-33600, Pessac, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Centre Hospitalier Universitaire (CHU) de Bordeaux, Service d’Anesthésie-Réanimation 2, Avenue de Magellan, F-33600, Pessac</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Pessac</settlement></placeName></affiliation></author><author><name sortKey="Antonelli, Massimo" sort="Antonelli, Massimo" uniqKey="Antonelli M" first="Massimo" last="Antonelli">Massimo Antonelli</name><affiliation wicri:level="1"><nlm:aff id="Aff12">Università Cattolica del Sacro Cuore - Policlinico Universitario A. Gemelli, Largo Agostino Gemelli 8, 00168 Rome, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Università Cattolica del Sacro Cuore - Policlinico Universitario A. Gemelli, Largo Agostino Gemelli 8, 00168 Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Payen, Didier" sort="Payen, Didier" uniqKey="Payen D" first="Didier" last="Payen">Didier Payen</name><affiliation><nlm:aff id="Aff13">Department of Anesthesiology and Critical Care, Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris, University of Paris, 7 Denis Diderot, 75475, Paris, Cedex 10 France</nlm:aff><wicri:noCountry code="subfield">Cedex 10 France</wicri:noCountry></affiliation></author><author><name sortKey="Prowle, John R" sort="Prowle, John R" uniqKey="Prowle J" first="John R" last="Prowle">John R. Prowle</name><affiliation><nlm:aff id="Aff14">Adult Critical Care Unit, The Royal London Hospital, Barts Health, Whitechapel Road, London, E1 1BB UK</nlm:aff><wicri:noCountry code="subfield">E1 1BB UK</wicri:noCountry></affiliation></author><author><name sortKey="Vincent, Jean Louis" sort="Vincent, Jean Louis" uniqKey="Vincent J" first="Jean-Louis" last="Vincent">Jean-Louis Vincent</name><affiliation wicri:level="4"><nlm:aff id="Aff3">Department of Intensive Care, Erasme Hospital, Université libre de Bruxelles, Route de Lennik 808, 1070 Brussels, Belgium</nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea>Department of Intensive Care, Erasme Hospital, Université libre de Bruxelles, Route de Lennik 808, 1070 Brussels</wicri:regionArea><placeName><region type="land" nuts="2">Vienne (Autriche)</region><settlement type="city">Vienne (Autriche)</settlement></placeName><orgName type="university">Université libre de Bruxelles</orgName></affiliation></author></analytic><series><title level="j">Critical Care</title><idno type="ISSN">1364-8535</idno><idno type="eISSN">1466-609X</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Renal replacement therapies (RRTs) represent a cornerstone in the management of severe acute kidney injury. This area of intensive care and nephrology has undergone significant improvement and evolution in recent years. Continuous RRTs have been a major focus of new technological and treatment strategies. RRT is being used increasingly in the intensive care unit, not only for renal indications but also for other organ-supportive strategies. Several aspects related to RRT are now well established, but others remain controversial. In this review, we review the available RRT modalities, covering technical and clinical aspects. We discuss several controversial issues, provide some practical recommendations, and where possible suggest a research agenda for the future.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Bellomo, R" uniqKey="Bellomo R">R Bellomo</name></author><author><name sortKey="Ronco, C" uniqKey="Ronco C">C Ronco</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Ward, D" uniqKey="Ward D">D Ward</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Baldwin, I" uniqKey="Baldwin I">I Baldwin</name></author><author><name sortKey="Bellomo, R" uniqKey="Bellomo R">R Bellomo</name></author><author><name sortKey="Koch, B" uniqKey="Koch B">B Koch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vijayan, A" uniqKey="Vijayan A">A Vijayan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Parienti, 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sortKey="Rensing, H" uniqKey="Rensing H">H Rensing</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kiser, Th" uniqKey="Kiser T">TH Kiser</name></author><author><name sortKey="Maclaren, R" uniqKey="Maclaren R">R MacLaren</name></author><author><name sortKey="Fish, Dn" uniqKey="Fish D">DN Fish</name></author><author><name sortKey="Hassell, Kl" uniqKey="Hassell K">KL Hassell</name></author><author><name sortKey="Teitelbaum, I" uniqKey="Teitelbaum I">I Teitelbaum</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kiser, Th" uniqKey="Kiser T">TH Kiser</name></author><author><name sortKey="Fish, Dn" uniqKey="Fish D">DN Fish</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Autriche</li><li>Belgique</li><li>France</li><li>Italie</li><li>Pays-Bas</li><li>Suisse</li><li>États-Unis</li></country><region><li>Aquitaine</li><li>Latium</li><li>Nouvelle-Aquitaine</li><li>Pennsylvanie</li><li>Piémont</li><li>Tyrol (Land)</li><li>Vienne (Autriche)</li></region><settlement><li>Innsbruck</li><li>Pessac</li><li>Rome</li><li>Turin</li><li>Vienne (Autriche)</li></settlement><orgName><li>Université de médecine d'Innsbruck</li><li>Université libre de Bruxelles</li></orgName></list><tree><noCountry><name sortKey="Bellomo, Rinaldo" sort="Bellomo, Rinaldo" uniqKey="Bellomo R" first="Rinaldo" last="Bellomo">Rinaldo Bellomo</name><name sortKey="Payen, Didier" sort="Payen, Didier" uniqKey="Payen D" first="Didier" last="Payen">Didier Payen</name><name sortKey="Prowle, John R" sort="Prowle, John R" uniqKey="Prowle J" first="John R" last="Prowle">John R. Prowle</name></noCountry><country name="Italie"><noRegion><name sortKey="Ronco, Claudio" sort="Ronco, Claudio" uniqKey="Ronco C" first="Claudio" last="Ronco">Claudio Ronco</name></noRegion><name sortKey="Antonelli, Massimo" sort="Antonelli, Massimo" uniqKey="Antonelli M" first="Massimo" last="Antonelli">Massimo Antonelli</name><name sortKey="Cantaluppi, Vincenzo" sort="Cantaluppi, Vincenzo" uniqKey="Cantaluppi V" first="Vincenzo" last="Cantaluppi">Vincenzo Cantaluppi</name><name sortKey="Ricci, Zaccaria" sort="Ricci, Zaccaria" uniqKey="Ricci Z" first="Zaccaria" last="Ricci">Zaccaria Ricci</name><name sortKey="Turani, Franco" sort="Turani, Franco" uniqKey="Turani F" first="Franco" last="Turani">Franco Turani</name></country><country name="Belgique"><region name="Vienne (Autriche)"><name sortKey="De Backer, Daniel" sort="De Backer, Daniel" uniqKey="De Backer D" first="Daniel" last="De Backer">Daniel De Backer</name></region><name sortKey="Taccone, Fabio S" sort="Taccone, Fabio S" uniqKey="Taccone F" first="Fabio S" last="Taccone">Fabio S. Taccone</name><name sortKey="Vincent, Jean Louis" sort="Vincent, Jean Louis" uniqKey="Vincent J" first="Jean-Louis" last="Vincent">Jean-Louis Vincent</name></country><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Kellum, John A" sort="Kellum, John A" uniqKey="Kellum J" first="John A" last="Kellum">John A. Kellum</name></region></country><country name="Autriche"><region name="Tyrol (Land)"><name sortKey="Joannidis, Michael" sort="Joannidis, Michael" uniqKey="Joannidis M" first="Michael" last="Joannidis">Michael Joannidis</name></region></country><country name="Pays-Bas"><noRegion><name sortKey="Pickkers, Peter" sort="Pickkers, Peter" uniqKey="Pickkers P" first="Peter" last="Pickkers">Peter Pickkers</name></noRegion></country><country name="Suisse"><noRegion><name sortKey="Saudan, Patrick" sort="Saudan, Patrick" uniqKey="Saudan P" first="Patrick" last="Saudan">Patrick Saudan</name></noRegion></country><country name="France"><region name="Nouvelle-Aquitaine"><name sortKey="Joannes Boyau, Olivier" sort="Joannes Boyau, Olivier" uniqKey="Joannes Boyau O" first="Olivier" last="Joannes-Boyau">Olivier Joannes-Boyau</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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