How I prescribe prolonged intermittent renal replacement therapy

Link to article at PubMed

Crit Care. 2023 Mar 8;27(1):88. doi: 10.1186/s13054-023-04389-7.


Prolonged Intermittent Renal Replacement Therapy (PIRRT) is the term used to define 'hybrid' forms of renal replacement therapy. PIRRT can be provided using an intermittent hemodialysis machine or a continuous renal replacement therapy (CRRT) machine. Treatments are provided for a longer duration than typical intermittent hemodialysis treatments (6-12 h vs. 3-4 h, respectively) but not 24 h per day as is done for continuous renal replacement therapy (CRRT). Usually, PIRRT treatments are provided 4 to 7 times per week. PIRRT is a cost-effective and flexible modality with which to safely provide RRT for critically ill patients. We present a brief review on the use of PIRRT in the ICU with a focus on how we prescribe it in that setting.

PMID:36882851 | PMC:PMC9992907 | DOI:10.1186/s13054-023-04389-7

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