Open AccessHow Does Continuous Renal Replacement Therapy Affect Septic Acute Kidney Injury?
Author(s) -
Jingxiao Zhang,
Jiakun Tian,
HanDong Sun,
Dharmendra Kumar,
Mauro Neri,
Vinant Bhargava,
Yongjie Yin,
Claudio Ronco
Publication year - 2018
Publication title -
blood purification
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 57
eISSN - 1421-9735
pISSN - 0253-5068
DOI - 10.1159/000492026
Subject(s) - renal replacement therapy , acute kidney injury , sepsis , medicine , kidney , intensive care medicine , kidney disease , intensive care unit , septic shock
Sepsis is the leading cause of acute kidney injury (AKI) in the intensive care unit. As the most common treatment of septic AKI, it is believed that continuous renal replacement therapy (CRRT) can not only maintain the water balance and excrete the metabolic products but also regulate the inflammation and promote kidney recovery. CRRT can remove the inflammatory cytokines to regulate the metabolic adaption in kidney and restore the kidney recovery to protect the kidney in septic AKI. Second, CRRT can provide extra energy supply in septic AKI to improve the kidney energy balance in septic AKI. Third, the anticoagulant used in CRRT also regulates the inflammation in septic AKI. CRRT is not only a treatment to deal with the water balance and metabolic products, but also a method to regulate the inflammation in septic AKI.