Dialysis decision in critically ill patients in intensive care unit

Figures

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  Figure 1.. Criteria-based dialysis decision in the landmark studies and the introduction of a personalized approach on the decision of dialysis. ELAIN: early versus Late initiation of renal replacement therapy in critically ill patients with acute kidney injury; AKIKI: Artificial Kidney Initiation in Kidney Injury; IDEAL-ICU: Initiation of Dialysis Early versus Delayed in the Intensive Care Unit; STARRT-AKI: STandard versus Accelerated initiation of Renal Replacement Therapy in Acute Kidney Injury; KDIGO: Kidney Disease Improving Global Outcomes; ADQI: Acute Dialysis Quality Initiative.

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  Figure 2.. Conceptual demand-capacity model. Reprinted with permission of Acute Dialysis Quality Initiative (ADQI) [18].

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  Figure 3.. Four patient scenarios. (A, B) No kidney replacement therapy (KRT)—(A) illustrates early reversal of AKI and (B) shows progressive renal failure and increasing discrepancy between renal function capacity and physiological demands. (C, D) The effect of KRT (dashed lines) with (C) early (line E) or later (line L) initiation and two different demand-capacity discrepancy patterns. On the right, the illustrated patient scenario (D) is different with high underlying disease burden and either initiation of continuous KRT on day 2 transitioning to intermittent KRT on day 4 (dashed line marked as C-I) or initiation of intermittent therapy on day 4 (line I). RRT: renal replacement therapy. Reprinted with permission of Acute Dialysis Quality Initiative (ADQI) [18].