What are the renal indications for RRT on the ICU?

Emergency Indications

  • Metabolic:
    • ↑ Urea (>40 mmol/L)
    • Uraemia with symptoms 1
      • Pericarditis
      • Encephalopathy / neuropathy
  • Refractory pulmonary oedema 1
  • Metabolic acidaemia due to renal failure (pH < 7.15) 1
  • Oligo-anuria <200ml/12 hours 1

 

Non-Emergency Indications

  • Achievement of homeostasis in AKI unresponsive to conservative management:
    • Acid-base balance
    • Fluid
    • Solutes