When to initiate RRT?

Acute kidney injury is common in critically ill patients, and 10-15% of ICU patients receive renal replacement therapy (RRT). The timing of therapy initiation is limited by heterogeneity, but until 10-15 years ago there was a trend toward early initiation, as noted by several meta-analyses.

In the past 5 years, several large PRCTs have addressed this topic: ELAIN, AKIKI, IDEAL-ICU, STARRT-AKI, and AKIKI-2.

In this ESICM NEXT educational podcast, we will find out what is the most recent consensus and what are the clinical tools to facilitate the initiation of RRT.

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Speakers

Antoine SCHNEIDER. Lausanne University Hospital (CH). Chair, ESICM Acute Kidney Injury Section.

Eric HOSTE. Universitair Ziekenhuis Ghent (BE).

Sean BAGSGAW. University of Alberta Hospital (CA); Mazankowski Alberta Health Institute (CA).

Silvia DE ROSA. San Bortolo Hospital, Vicenza (IT). ESICM Next Committee member.