Continuous dialysis is not superior to intermittent dialysis in acute kidney injury of the critically ill patient
Jonathan Himmelfarb
Correspondence Maine Medical Center, 22 Bramhall Street, Portland, ME 04102, USA
Email himmej@mmc.org
The author of this counterpoint argues that the results of recently published randomized clinical trials call into question the assumption that continuous renal replacement therapy is inherently superior to intermittent hemodialysis for patients in the intensive care unit with severe acute kidney injury. The second half of his article examines why this might be. Has intermittent hemodialysis become safer and more efficacious? Might continuous renal replacement therapy be less safe and/or efficacious than previously thought?
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