Abstract

VICENTE, Rita; SANTOS, Ricardo  and  COELHO, Silvia. The Role of Sustained Low-Efficiency Dialysis (SLED) in the Intensive Care Unit. Port J Nephrol Hypert [online]. 2022, vol.36, n.3, pp.138-147.  Epub Sep 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.

Keywords : Continuous Renal Replacement Therapy; Critical Illness; Hybrid Renal Replacement Therapy; Intensive Care Units.

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