Abstract
Hemodynamic instability during kidney replacement therapy (KRT) occurs frequently with KRT modalities used in the intensive care unit (ICU), including intermittent hemodialysis, slow low-efficiency dialysis, and continuous KRT.1 In critically ill patients, hemodynamic instability during KRT is associated with an increased risk of death.2 The STARRT-AKI (Standard vs. Accelerated Initiation of Renal Replacement Therapy in Acute Kidney Injury trial)3 found that earlier initiation of KRT for AKI was associated with more frequent hemodynamic instability and less recovery to KRT independence.
Highlights
H emodynamic instability during kidney replacement therapy (KRT) occurs frequently with KRT modalities used in the intensive care unit (ICU), including intermittent hemodialysis, slow lowefficiency dialysis, and continuous KRT.[1]
To better inform the design of future clinical trials, we undertook a survey to describe current practices and attitudes regarding the use of i.v. albumin based on hemodynamics and other clinical parameters in critically ill patients on KRT
Of 268 Canadian Society of Nephrology physician members and 324 members of the Canadian Critical Care Society, 162 nephrologists (60%) and 59 intensivists (18%) involved in providing KRT in the ICU setting responded to the survey, respectively
Summary
The Use of I.V. Albumin During Kidney Replacement Therapy: A Survey of Nephrologists and Intensivists. Chan[1], William Beaubien-Souligny[2], Samuel A. Bagshaw[4], Ron Wald[5], Pierre-Antoine Brown[6,7], Swapnil Hiremath[6,7], Jennifer W.Y. Kong[7] and Edward G. Clark[6,7].
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