Comparing Dialysis Modalities for Critically Ill Patients: Are We Barking up the Wrong Tree?

[摘要] During the past two decades, continuous renal replacement techniques (CRRT) have altered the landscape of dialysis options for critically ill patients. Adoption of these techniques has been fairly rapid in developed countries with advanced intensive care unit support systems and is gradually expanding to the developing world (1). However, not everyone has been enamored with the advancements; the main reason cited is a lack of evidence for a benefit in mortality (2). Consequently, nephrologists and critical care physicians are periodically subjected to debates among prominent experts on the superiority—or lack thereof—of these techniques. In this issue, Ronco et al. (3) make a case for the superiority of CRRT, whereas Himmelfarb (2) provided a contrary viewpoint. Although the debate is informative, it is not focusing on the major issues about which we should be concerned.

[学科分类] 泌尿医学

[关键词] Bone marrow necrosis;Sickle cell disease;Hyperhemolysis syndrome