Indian Journal of Nephrology Home 

REVIEW ARTICLE
[View FULLTEXT] [Download PDF]
Year : 2013  |  Volume : 23  |  Issue : 6  |  Page : 395--402

Current practice of conventional intermittent hemodialysis for acute kidney injury

H Schiffl1, SM Lang2 
1 Department of Internal Medicine IV, University Hospital Munich, Munich, Germany
2 Department of Internal Medicine II, SRH Wald-Klinikum Gera, Gera, Germany

Correspondence Address:
H Schiffl
KfH Renal Center Munich-Laim, Elsenheimerstr. 63, D-80687 Munich
Germany

The use of conventional intermittent hemodialysis (IHD) represents a mainstay of supportive care of patients with acute kidney injury (AKI). However, a number of fundamental questions regarding the optimal management of IHD remain unanswered after more than six decades of renal replacement therapy (RRT). This review summarizes current evidence regarding the timing of initiation of intermittent hemodialysis, the comparative outcomes (mortality and recovery of renal function), the prescription of the intensity of this therapy and discontinuation of dialysis. The way conventional IHD is performed has an impact on the outcome of sick patients with AKI. The value of regular education and training of those who provide IHD cannot be emphasized enough. However, we must be realistic in our expectations that no mode of RRT per se will substantially alter the excessive mortality of critically ill-patients with AKI.

How to cite this article:
Schiffl H, Lang S M. Current practice of conventional intermittent hemodialysis for acute kidney injury.Indian J Nephrol 2013;23:395-402

How to cite this URL:
Schiffl H, Lang S M. Current practice of conventional intermittent hemodialysis for acute kidney injury. Indian J Nephrol [serial online] 2013 [cited 2022 Aug 13 ];23:395-402
Available from: https://www.indianjnephrol.org/article.asp?issn=0971-4065;year=2013;volume=23;issue=6;spage=395;epage=402;aulast=Schiffl;type=0