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Renal replacement therapy
Specialty
nephrology
MeSH
D017582
[edit on Wikidata]
Renal replacement therapy (RRT) is therapy that replaces the normal blood-filtering function of the kidneys. It is used when the kidneys are not working well, which is called kidney failure and includes acute kidney injury and chronic kidney disease. Renal replacement therapy includes dialysis (hemodialysis or peritoneal dialysis), hemofiltration, and hemodiafiltration, which are various ways of filtration of blood with or without machines. Renal replacement therapy also includes kidney transplantation, which is the ultimate form of replacement in that the old kidney is replaced by a donor kidney.[1]
These treatments are not truly cures for kidney disease. In the context of chronic kidney disease, they are more accurately viewed as life-extending treatments, although if chronic kidney disease is managed well with dialysis and a compatible graft is found early and is successfully transplanted, the clinical course can be quite favorable, with life expectancy of many years. Likewise, in certain acute illnesses or trauma resulting in acute kidney injury, a person could very well survive for many years, with relatively good kidney function, before needing intervention again, as long as they had good response to dialysis, they got a kidney transplant fairly quickly if needed, their body did not reject the transplanted kidney, and they had no other significant health problems. Early dialysis (and, if indicated, early renal transplant) in acute kidney failure usually brings more favorable outcomes.
^"Overview of Renal Replacement Therapy - Genitourinary Disorders". Merck Manuals Professional Edition.
and 29 Related for: Renal replacement therapy information
Renalreplacementtherapy (RRT) is therapy that replaces the normal blood-filtering function of the kidneys. It is used when the kidneys are not working...
therapy", other experts have advocated preserving the use of renal and nephro as appropriate including in "nephrology" and "renalreplacementtherapy"...
Hemofiltration, also haemofiltration, is a renalreplacementtherapy which is used in the intensive care setting. It is usually used to treat acute kidney...
for renalreplacementtherapy) for more than four weeks. End-stage kidney disease: Complete loss of kidney function (e.g., need for renalreplacement therapy)...
glomerular filtration rate (GFR) of less than 15 or the need for renalreplacementtherapy. It is also equivalent to stage 5 chronic kidney disease. Treatment...
of uremic toxins by renalreplacementtherapies: a review of current progress and future perspectives". RenalReplacementTherapy. 2 (1). doi:10.1186/s41100-016-0056-9...
prevalence of CKD is 13.4%, and patients with kidney failure needing renalreplacementtherapy are estimated between 5 and 7 million. Procedures used in the...
longer perform these functions naturally. This is referred to as renalreplacementtherapy. The first successful dialysis was performed in 1943. Dialysis...
recommended for blood glucose testing. Intermittent or continuous renalreplacementtherapy may be used if indicated. However, sodium bicarbonate is not recommended...
chronic hypertension in order to reduce the usage of renalreplacementtherapy. However, if fluid replacement is inadequate in raising blood pressure, then vasopressor...
Infections are treated with antibiotics. Declining renal function is treated with renalreplacementtherapy (RRT): dialysis and/or transplantation. Management...
countries. Peritoneal dialysis is a method of renalreplacementtherapy for those needing maintenance therapy for late stage chronic kidney disease and is...
rare, but one 2012 study found that Alport patients receiving renalreplacementtherapy (dialysis or kidney transplantation) exhibited, on average, better...
appropriate and tolerated. Continuous renalreplacementtherapy (CRRT) is remarkably effective mode of therapy in neonatal hyperammonemia, particularly...
life-threatening, and respond to increased urine production and renalreplacementtherapy (see below). Temporary measures include the administration of...
sorting system for the United States Postal Service Continuous renalreplacementtherapy Chemical-Biological-Radiological Rapid Response Team Commuter...
acute kidney injury is estimated to be 28%, and the prevalence of renalreplacementtherapy is estimated to be 9%. Higher dietary intake of animal protein...
weaning of sedation, central venous and arterial catheterisation, renalreplacementtherapy and management of mechanical ventilators. Training in the medical...
Hemodialysis is the choice of renalreplacementtherapy for patients who need dialysis acutely, and for many patients as maintenance therapy. It provides excellent...
with hepatorenal syndrome, yet the technique is still nascent. Renalreplacementtherapy may be required to bridge individuals with hepatorenal syndrome...
Feminizing hormone therapy, also known as transfeminine hormone therapy, is hormone therapy and sex reassignment therapy to change the secondary sex characteristics...
a synonym for hemodialysis, but may also refer to the other renalreplacementtherapies (with exclusion of kidney transplantation) that are in use and/or...
observed in or near the nails of hemodialysis patients". Advances in RenalReplacementTherapy. 5 (3): 241–51. doi:10.1016/S1073-4449(98)70037-8. PMID 9686635...
of the treatment of renal hypoplasia, we find it depends on the severity of the chronic kidney disease. Renalreplacementtherapy is a possibility. Epidemiologic...
Nicotine replacementtherapy (NRT) is a medically approved way to treat people with tobacco use disorder by taking nicotine through means other than tobacco...
Barlow, Adam D.; Nicholson, Michael L. (2014). "5 - Access for RenalReplacementTherapy". Kidney Transplantation–Principles and Practice (7th ed.). Saunders...
supportive care (for aggressive fluid management, ventilation, renalreplacementtherapy and inotropic support), particularly in the case of multiple organ...