Portal de Periódicos da CAPES

Sustained low-efficiency daily diafiltration (SLEDD-f) for critically ill patients requiring renal replacement therapy: towards an adequate therapy

2004; Oxford University Press; Volume: 19; Issue: 4 Linguagem: Inglês

10.1093/ndt/gfg625

1460-2385

Mark R. Marshall, Tianmin Ma, David Galler, Alan Patrick Nigel Rankin, A. B. Williams,

Renal function and acid-base balance

Background. Sustained low-efficiency daily dialysis (SLEDD) is an increasingly popular renal replacement therapy for intensive care unit (ICU) patients. SLEDD has been previously reported to provide good solute control and haemodynamic stability. However, continuous renal replacement therapy (CRRT) is considered superior by many ICU practitioners, due first to the large amounts of convective clearance achieved and second to the ability to deliver treatment independently of nephrology services. We report on a program of sustained low-efficiency daily diafiltration (SLEDD-f) delivered autonomously by ICU nursing personnel, and benchmark solute clearance data with recently published reports that have provided dose–outcome relationships for renal replacement therapy in this population.