Controversies in Clinical Nephrology: Challenges of performing renal replacement therapy in the intensive care unit - The intensivist perspective.

Controversies in Clinical Nephrology: Challenges of performing renal replacement therapy in the intensive care unit - The intensivist perspective. Clin Nephrol. 2018 Apr 10;: Authors: Prowle JR Abstract In 2017, models of care in the best institutions around the world are no longer at the extremes discussed above. In the UK, intensivists with specialist renal interest and, not uncommonly, joint specialist training in nephrology are able to provide clinical expertise, devise more flexible RRT protocols, and provide liaison with specialist renal services without compromising speed and integration of RRT into integrated organ support. Similarly, in nephrology-led care, renal specialists are becoming more subspecialized, with acute nephrology physicians and nurses having a much greater presence in the ICU and integration with the ICU team during the management and follow-up of critically ill patients with advanced AKI. Thus, the answer to the challenges of performing best-quality RRT in the ICU may not be not to promote an exclusively intensivist- or nephrologist-led approach, but to take the best from each model into one's current practice with the aim of providing the best "critical care nephrology" service to our patients. PMID: 29633702 [PubMed - as supplied by publisher]
Source: Clinical Nephrology - Category: Urology & Nephrology Authors: Tags: Clin Nephrol Source Type: research