• Twitter
  • Facebook
  • Vimeo
  • FCUS Courses
  • Register for FCUS Course
  • Login
Intensive Care Network
  • About Us
    • What is ICN
    • Our Team
  • Events
  • Podcast Series
    • Podcast by Topic
      • Airway Podcasts
      • Cardiac Podcasts
      • Career Podcasts
      • Conference Podcasts
      • Education Podcasts
      • Evidence Podcasts
      • GI/Renal Podcasts
      • Haem Podcasts
      • Metabolic Podcasts
      • Miscellaneous Podcasts
      • Neuro Podcasts
      • Paeds Podcasts
      • Respiratory Podcasts
      • Resuscitation Podcasts
      • Sepsis Podcasts
      • Toxicology Podcasts
      • Trauma Podcasts
      • Ultrasound Podcasts
    • Podcast by Specialty
      • Anaesthetics
      • Emergency
      • ICU
      • Prehospital
    • SMACC
    • ICN
    • Jellybean
    • CICM ASM
  • Blog
  • Resources
    • Clinical Cases
    • Fav Posts/Other Sources
    • Game Changing Evidence
    • Radiology
      • ICU Radiology
    • Simulation Resources
    • Ultrasound
      • Lung Ultrasound
  • EXAMHELP
    • ANAESTHETICS PRIMARY
    • ANZCA FELLOWSHIP
    • CICM Fellowship
    • EMERGENCY PRIMARY
    • ICU Primary Exam
    • PAEDS FELLOWSHIP
  • Contact Us

Renal Replacement Therapy

Home Renal Replacement Therapy

Renal Replacement Therapy

By Dr Michaela Cartner 

Part 2 of the 4 part series of renal replacement therapies, Dr Michaela Cartner (@Mjcartner) from the Gold Coast University Hospital provides an introduction to the different types of renal replacement therapy. The different modes include CRRT, IHD and SLED.

CRRT – continuous renal replacement therapy is the most commonly used dialysis therapy in the ICU. As the name suggests, CRRT is a slow form of dialysis that runs continuously over 24 hours. It is only indicated for AKIs and is favoured in the ICU for its haemodynamic stability and ease of operation. Some limitations of CRRT are that it requires the patient to be immobile, there is a heavy nursing workload, and it requires anticoagulation, among other factors.

IHD – intermittent haemodialysis is usually reserved for outpatient dialysis and runs over 3-4 hours multiple times a week. It is a high blood flow system which effectively removes low weight molecules and therefore doesn’t require anticoagulation and is ideal for managing hyperkalemia. It is less suitable for the ICU setting due to the potential for haemodynamic instability, dialysis/electrolyte disequilibrium syndrome (DDS) and the technical/practical difficulties.

SLED – sustained low-efficiency dialysis is midway between CRRT and IHD. It is usually run over 6-12 hours and has a moderate flow rate. It is similar to IHD in its effectiveness in managing hyperkalemia but doesn’t have the same potential for DDS, doesn’t require anticoagulation, and maintains haemodynamic stability. SLED is becoming more widely accepted as the haemodialysis modality of choice in intensive care units for its ease of use, shorter treatment time and similar mortality rates (compared with CRRT). Much of the reluctance to change is due to the clinical unfamiliarity and high start-up costs.

[az_box_icon animation_loading=”yes” animation_loading_effects=”move_left” icon=”font-icon-video” title=”The Video” position=”left”]
[/az_box_icon]

[az_box_icon animation_loading=”yes” animation_loading_effects=”move_left” icon=”font-icon-plus-2″ title=”More SMACC Gold” position=”left”]

[/az_box_icon][az_buttons animation_loading=”yes” animation_loading_effects=”move_up” buttonlabel=”SMACC Gold” target=”_self” buttonsize=”button-large” checkicon=”no_icon” icon=”font-icon-phone” buttonlink=”https://intensivecarenetwork.com/media/podcasts/smacc-gold-podcasts/”]

Share this
ECMO in NZ by McGuinnessIntensive Palliative Care PK
IPSN – Intensivist Parent Support Network WIN – Women in Intensive Care Network ICN UK ICN NZ ICN WA ICN VIC ICN NSW ICN QLD The ICN Story The Team Jellybean Podcasts ICN Blog SMACC Video SMACC Audio Video ECG Simulator by aclsmedicaltraining BASIC SCIENCE CLINIC Simulation Game Changing Evidence ICU Radiology Echo Guide ECHO Cases Clinical Cases EXAMHELP Jellybean Podcasts ICN Blog SMACC Video SMACC Audio Video CICM Fellowship ANZCA FELLOWSHIP PAEDS FELLOWSHIP EMERGENCY PRIMARY ANAESTHETICS PRIMARY End-o-bed-o-gram

  • About
    •  What is ICN
    •  The Team
    •  ICN NSW
    •  ICN QLD
    •  ICN VIC
    •  ICN WA
    •  ICN NZ
    •  ICN UK
  • Resources
    •  Lung US
    •  Exam Help
    •  Clinical Cases
    •  Echo Cases
    •  Echo Guide
    •  ICU Radiology
    •  Game Changing Evidence
    •  ICN Metafeed
    •  Simulation Resouces
  • Media
    •  SMACC Posters
    •  Audio
    •  Video
    •  Pecha Kuchas
  • Upskill
    •  Clinical Cases
    •  Echo Cases
    •  ICU Radiology
  • Exam Help
    •  End-o-Bed-o-Gram
    •  ICU Primary Exam
    •  CICM Fellowship
    •  ANZCA Fellowship
    •  Paeds Fellowship
    •  Emergency Primary
    •  Anaesthetics Primary

® 2023 The Intensive Care Network || All rights reserved || Disclaimer || Site Map || Contact ICN Support

Log in with your credentials

or     Create an account

Lost your password?

Forgot your details?

I remember my details

Create Account