Title |
The future of critical care: renal support in 2027
|
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Published in |
Critical Care, April 2017
|
DOI | 10.1186/s13054-017-1665-6 |
Pubmed ID | |
Authors |
William R. Clark, Mauro Neri, Francesco Garzotto, Zaccaria Ricci, Stuart L. Goldstein, Xiaoqiang Ding, Jiarui Xu, Claudio Ronco |
Abstract |
Since its inception four decades ago, both the clinical and technologic aspects of continuous renal replacement therapy (CRRT) have evolved substantially. Devices now specifically designed for critically ill patients with acute kidney injury are widely available and the clinical challenges associated with treating this complex patient population continue to be addressed. However, several important questions remain unanswered, leaving doubts in the minds of many clinicians about therapy prescription/delivery and patient management. Specifically, questions surrounding therapy dosing, timing of initiation and termination, fluid management, anticoagulation, drug dosing, and data analytics may lead to inconsistent delivery of CRRT and even reluctance to prescribe it. In this review, we discuss current limitations of CRRT and potential solutions over the next decade from both a patient management and a technology perspective. We also address the issue of sustainability for CRRT and related therapies beyond 2027 and raise several points for consideration. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Mexico | 9 | 24% |
United Kingdom | 5 | 13% |
Spain | 3 | 8% |
Malaysia | 2 | 5% |
Canada | 2 | 5% |
Colombia | 1 | 3% |
Qatar | 1 | 3% |
Turkey | 1 | 3% |
Argentina | 1 | 3% |
Other | 4 | 11% |
Unknown | 9 | 24% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 33 | 87% |
Practitioners (doctors, other healthcare professionals) | 3 | 8% |
Scientists | 1 | 3% |
Science communicators (journalists, bloggers, editors) | 1 | 3% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Belgium | 1 | 1% |
Unknown | 96 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 16 | 16% |
Student > Master | 15 | 15% |
Researcher | 14 | 14% |
Student > Bachelor | 9 | 9% |
Student > Postgraduate | 9 | 9% |
Other | 22 | 23% |
Unknown | 12 | 12% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 50 | 52% |
Nursing and Health Professions | 7 | 7% |
Engineering | 6 | 6% |
Social Sciences | 4 | 4% |
Psychology | 3 | 3% |
Other | 10 | 10% |
Unknown | 17 | 18% |