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<p>Besides mechanical ventilation, renal replacement therapy is the most frequently performed organ replacement therapy in intensive care medicine. However, there is a&#xa0;lack of consensus- and evidence-based recommendations for the implementation of renal replacement therapy according to the best current knowledge and evidence. This guideline describes the topics of starting a&#xa0;renal replacement therapy, modality (diffusion or convection, continuous or intermittent procedures), anticoagulation, adequate dose, and criteria for stopping&#xa0;renal replacement therapy. In addition, the current evidence on adequate anti-infective therapy is presented under the special features of acute kidney injury and renal replacement therapy.</p>

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S3-Leitlinie Nierenersatztherapie in der Intensivmedizin

  • 期刊论文

  • 发表日期：

    2025年6月23日

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  • Carsten Willam,
  • Mariam Abu-Tair,
  • Matthias Bayer,
  • Romuald Bellmann,
  • Frank Brunkhorst,
  • Florian Custodis,
  • Jan Galle,
  • Carsten Hermes,
  • Michael Joannidis,
  • Stefan John,
  • Achim Jörres,
  • Thomas Kerz,
  • Detlef Kindgen-Milles,
  • Martin Koczor,
  • Rainer Kram,
  • Martin K. Kuhlmann,
  • Michael Oppert,
  • Georg Schlieper,
  • Michael Schmitz,
  • Alexander Zarbock,
  • Melanie Meersch

摘要

Besides mechanical ventilation, renal replacement therapy is the most frequently performed organ replacement therapy in intensive care medicine. However, there is a lack of consensus- and evidence-based recommendations for the implementation of renal replacement therapy according to the best current knowledge and evidence. This guideline describes the topics of starting a renal replacement therapy, modality (diffusion or convection, continuous or intermittent procedures), anticoagulation, adequate dose, and criteria for stopping renal replacement therapy. In addition, the current evidence on adequate anti-infective therapy is presented under the special features of acute kidney injury and renal replacement therapy.