腹膜透析
医学
体外
模式
透析
重症监护
重症监护医学
急性肾损伤
重症监护室
危重病
病危
肾脏替代疗法
选择(遗传算法)
内科学
社会科学
社会学
作者
Ryo Matsuura,Kent Doi,Yoshifumi Hamasaki,Masaomi Nangaku
标识
DOI:10.1016/j.semnephrol.2020.08.006
摘要
Acute kidney injury (AKI) is a critical burden on intensive care units in Asia. Renal replacement therapy (RRT) acts as strong supportive care for severe AKI. However, various RRT modalities are used in Asia because of the diversity in ethics, climate, geographic features, and socioeconomic status. Extracorporeal blood purification is used commonly in Asian intensive care units; however, intermittent RRT is preferred in developing countries because of cost and infrastructure issues. Conversely, continuous RRT is preferred in developed countries, indicating the predominance of hospital-acquired AKI patients with complications of hemodynamic instability. Peritoneal dialysis is delivered less frequently, although several studies have suggested promising results for peritoneal dialysis in AKI treatment. Of note, not all RRT modalities are available as a standard procedure in some Asian regions, and it is absolutely necessary to develop a sustainable infrastructure that can deliver optimal care for all AKI patients.
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