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Doody's Review ServiceReviewer: 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.