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Procedures in Critical Care: Dialysis and Apheresis

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Bedside Procedures for the Intensivist

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Abstract

Acute renal injury in the intensive care unit (ICU) is associated with significant excess mortality. A rise in the serum creatinine of 0.3 mg/dl is associated with worse outcomes in critically ill patients.1,2 Using the consensus definition of acute renal injury, the so-called RIFLE criteria 3, 4 (Fig. 8-1), the odds ratio for death increases from approximately 2.5 in those patients classified as having renal Risk to 5 for renal Injury and finally to 10 for those with Failure.5 Even after adjusting for other comorbidities, renal injury in the ICU is an independent risk factor for death 6 – 8 and the need for acute dialytic therapy in the ICU is associated with 50–60% mortality. 9, 10

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Authors and Affiliations

  1. Department of Hypertension and Transplant Medicine, Section of Nephrology, Medical College of Georgia, Augusta, Georgia, USA

    Harold M. Szerlip

Authors
  1. Matthew J. Diamond
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  2. Harold M. Szerlip
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Correspondence to Harold M. Szerlip .

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Editors and Affiliations

  1. Penn State Hershey Medical Center, 500 University Drive, Hershey, 17033-0850, USA

    Heidi L. Frankel

  2. Health Sciences Center, Louisiana State University, Perdido St. 1901, New Orleans, 70112, USA

    Bennett P. deBoisblanc

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Diamond, M.J., Szerlip, H.M. (2010). Procedures in Critical Care: Dialysis and Apheresis. In: Frankel, H., deBoisblanc, B. (eds) Bedside Procedures for the Intensivist. Springer, New York, NY. https://doi.org/10.1007/978-0-387-79830-1_8

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  • DOI: https://doi.org/10.1007/978-0-387-79830-1_8

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  • Print ISBN: 978-0-387-79829-5

  • Online ISBN: 978-0-387-79830-1

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