If your patient is critically ill with acute kidney injury (AKI), CRRT is one of the primary therapies. The goal of any continuous renal replacement therapy (CRRT) is to replace, as best as possible, the lost function of kidneys. CRRT provides slow and balanced fluid removal that even unstable patients - those with shock or severe fluid overload - can more easily tolerate. Both average and smaller size patients can undergo CRRT therapy and it can be adapted quickly to meet changing needs. | C R R T Continuous Renal Replacement Therapies Technical and Practical Aspects CRRT continuous ambulatory peritoneal dialysis (CAPD) continuous cyclical peritoneal dialysis (CCPD) slow continuous ultrafiltration (SCUF) continuous arterio-venous hemofiltration (CAVH) continuous arterio-venous hemodialysis (CAVHD) continuous arterio-venous hemodiafiltration (CAVHDF) continuous veno-venous hemofiltration (CVVH) continuous veno-venous hemodialysis (CVVHD) continuous veno-venous high-flux dialysis (CVVHFD) continuous veno-venous hemodiafiltration (CVVHDF) intermittent peritoneal dialysis (IPD) hemoperfusion (HP) hemoconcentration ther. plasmapheresis (PEX, PAP) hemodialysis (HD) hemofiltration (HF) hemodiafiltration (HDF) continuous intermittent Blood Purification Procedures in ICU /47 CRRT Indications in ICU Acute renal failure, which often is a part of multi-organ failure with complications such as shock, cardial and non-cardial pulmonary edema, hemodynamic instability, bleeding, . | C R R T Continuous Renal Replacement Therapies Technical and Practical Aspects CRRT continuous ambulatory peritoneal dialysis (CAPD) continuous cyclical peritoneal dialysis (CCPD) slow continuous ultrafiltration (SCUF) continuous arterio-venous hemofiltration (CAVH) continuous arterio-venous hemodialysis (CAVHD) continuous arterio-venous hemodiafiltration (CAVHDF) continuous veno-venous hemofiltration (CVVH) continuous veno-venous hemodialysis (CVVHD) continuous veno-venous high-flux dialysis (CVVHFD) continuous veno-venous hemodiafiltration (CVVHDF) intermittent peritoneal dialysis (IPD) hemoperfusion (HP) hemoconcentration ther. plasmapheresis (PEX, PAP) hemodialysis (HD) hemofiltration (HF) hemodiafiltration (HDF) continuous intermittent Blood Purification Procedures in ICU /47 CRRT Indications in ICU Acute renal failure, which often is a part of multi-organ failure with complications such as shock, cardial and non-cardial pulmonary edema, hemodynamic instability, bleeding, hypercatabolism diuretic-resistant fluid overload parenteral nutrition in cases of oligoanuria Hyperpotassiemia hypernatriaemia elimination of toxins and mediators (endotoxin, prostaglandin, leukotrins etc.) /47 1977 Kramer et al. Report for the first time on continuous arterio-venous hemofiltration (CAVH) 1981 Bischoff develops a pump-driven procedure as continuous veno-venous hemofiltration (CVVH) 1985 Geronemus further develops continuous arterio-venous hemodialysis (CAVHD) 1987 Uldall introduces continuous veno-venous hemodialysis (CVVHD) Historical Overview /47 A V heparin UF high-flux CAVH Continuous arterio-venous hemofiltration /47 A V heparin UF R high-flux CAVH Continuous arterio-venous hemofiltration /47 heparin A V D UF D low-flux CAVHD Continuous arterio-venous hemodialysis /47 A V R heparin D UF D high-flux CAVHDF Continuous arterio-venous hemodiafiltration /47 PA heparin V V PV UF BLD SAD high-flux SCUF Slow continuous ultrafiltration /47 .
