Portuguese Journal of Nephrology & Hypertension
ISSN 0872-0169
VICENTE, Rita; SANTOS, Ricardo COELHO, Silvia. The Role of Sustained Low-Efficiency Dialysis (SLED) in the Intensive Care Unit. []. , 36, 3, pp.138-147. 30--2022. ISSN 0872-0169. https://doi.org/10.32932/pjnh.2022.09.200.
Renal replacement therapies are frequently used in the intensive care unit, most often in patients with severe acute kidney injury, a common complication in this setting. The choice of a prolonged intermittent renal replacement therapy (PIRRT) has grown in its popularity. Nevertheless, not all clinicians are familiar with it. The most frequently performed PIRRT is sustained low-efficiency dialysis. The aim of this article is to review the sustained low-efficiency dialysis technique, namely the necessary machinery, the prescription specificities, its complications and the particularities related to intoxications and drug dosing. Lastly, when to start sustained low-efficiency dialysis and its advantages and disadvantages over intermittent hemodialysis and continuous renal replacement therapies is discussed.
: Continuous Renal Replacement Therapy; Critical Illness; Hybrid Renal Replacement Therapy; Intensive Care Units.
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