METHODS OF RENAL REPLACEMENT THERAPY IN ACUTE-RENAL-FAILURE

Several modalities: Organic acute renal failure commonly requires refe rral to a nephrology unit for renal replacement therapy. The choice of modality (hemodialysis, hemofiltration, hemodiafiltration) depends on the capacity of the local facility and staff experience as well as th e particular clinical conditions (comorbidity, hemodynamic stability, severity of the acute renal failure. Choice of a method: The choice of an intermittent or continuous replacement therapy is mostly based on the patient's hemodynamic status. The presence of a nephropathy differ ent from acute tubular necrosis (eg. glomerulonephritis, hemolytic ure mic syndrome) may require a more specific therapeutic regimen. Outcome : The outcome of acute renal remains largely determined by the associa ted comorbidity and secondarily by its underlying etiology (post-surgi cal, trauma, medical, toxic). Skill of the health care team also plays a dominant role.