Continuous Renal Replacement Therapy

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Overview


In the past decade, CRRT has moved from a niche therapy within specific specialty centers to the standard of care for management of critically ill patients with acute renal failure. Continuous Renal Replacement Therapy provides concise, evidence-based, to-the-point bedside guidance about this treatment modality, offering quick reference answers to clinicians' questions about treatments and situations encountered in daily practice. Organized into sections on Theory; Pratice; Special Situations; and Organizational Issues, Continuous Renal Replacement Therapy provides a complete view of CRRT theory and practice. Generous tables summarize and highlight key points, and key studies and trials are listed in each chapter.
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Editorial Reviews

Doody's Review Service
Reviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: This book outlines renal replacement practices for critically ill patients.
Purpose: Various forms of continuous renal replacement therapy (CRRT) have become the standard of care for management of acute renal failure in the intensive care unit. This monograph clarifies the rationale, technology, and pertinent physiology.
Audience: Critical care practitioners, senior trainees, nurses, and allied health professionals supporting patients receiving CRRT in the ICU are an appropriate audience for this work, which comes from the leaders in critical care nephrology.
Features: After a discussion of acute kidney injury in the context of critical illness, pertinent terminology and principles for CRRT are reviewed. The second and longest group of chapters describes clinical details of CRRT. Special clinical problems, management issues, and available technology are discussed in the final group of chapters. Chapters are clearly written with color, texture of type, and shading identifying key points. They also make ample use of tables and line drawings which reproduce with excellent quality. Each chapter has a reference list with citations dating to within two years of publication representing primary literature. The table of contents groups chapters by type of content and lists authors, while the brief subject index of three pages provides adequate access to content.
Assessment: This is a valuable tool for any practitioner managing patients receiving this form of support. The editors are acknowledged leaders in the field and the presentation is crisp and clear. Much of the mystery around various applications of CRRT is clarified in this work.
From the Publisher

"Chapters are clearly written with color, texture of type, and shading identifying key points. They [the authors] also make ample use of tables and line drawings which reproduce with excellent quality....This is a valuable tool for any practitioner managing patients receiving this form of support. The editors are acknowledged leaders in the field and the presentation is crisp and clear. Much of the mystery around various applications of CRRT is clarified in this work."--Doody's

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Product Details

  • ISBN-13: 9780195392784
  • Publisher: Oxford University Press
  • Publication date: 12/3/2009
  • Pages: 288
  • Product dimensions: 5.00 (w) x 7.90 (h) x 0.50 (d)

Meet the Author

John Kellum is a Professor in the Department of Critical Care Medicine at the University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania

Rinaldo Bellomo is Professor of Medicine at Melbourne University, Melbourne, Australia

Claudio Ronco is Professor of Clinical Nephrology and Medicine at St. Bortolo Hospital, Vicenza, Italy

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Table of Contents

Section 1: Theory
1. The critically ill patient with acute kidney injury
2. History and rationale for CRRT
3. Terminology and nomenclature
4. Basic principles of solute transport
5. Principles of fluid management
6. Indications, timing and patient selection
7. Extended indications for CRRT
8. Dose adequacy and assessment
9. Acid-base and electrolyte disorders

Section 2: Practice
10. Choosing a renal replacement therapy in AKI
11. Vascular access for continuous renal replacement therapy
12. The circuit and the prescription
13. The membrane: size and material
14. Fluids for continuous renal replacement therapy
15. Alarms and troubleshooting
16. Non anticoagulation strategies to optimise circuit function in RRT
17. Anticoagulation
18. Regional Citrate Anticoagulation
19. Drug dosing in CRRT

Section 3: Special Situations
20. Renal replacement therapy in children
21. Therapeutic plasma exchange in critical care medicine
22. MARS: molecular adsorbent recirculating system
23. Sorbents
24. Hybrid therapies

Section 4: Organizational issues
25. The ICU environment
26. Patient care quality and teamwork
27. Organizational aspects: developing policies and procedures for continuous renal replacement therapies
28. Documentation, billing and reimbursement for continuous renal replacement therapy
29. Machines for CRRT
30. Quality assurance for continuous renal replacement therapies
31. Educational resources

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