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New clinical guidelines standardize kidney replacement therapy in ICU patients (opens in a new tab)
news-medical.net · 2026-09-17
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New clinical guidelines standardize kidney replacement therapy in ICU patients
news-medical.net · 2026-09-17
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Open claim evidenceThe source study
Clinical practice guideline for renal replacement therapy in critically ill patients with acute kidney injury (2026 edition)
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Claim 1 of 6Not checkedNew clinical practice guidelines standardize renal replacement therapy for adult critically ill patients with acute kidney injury in the ICU.View evidenceHide evidence
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Claim 2 of 6Not checkedThe guideline was developed by the Chinese Society of Critical Care Medicine using a multidisciplinary panel, systematic literature retrieval, meta-analysis, evidence-based synthesis, and the GRADE approach.View evidenceHide evidence
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Claim 3 of 6Not checkedThe guideline includes 34 recommendations across seven domains and 29 clinical questions, covering timing of initiation, vascular access, treatment modality, specialized membrane filters, anticoagulation, replacement fluids, dose, and weaning.View evidenceHide evidence
As stated34 recommendations across seven domains and 29 clinical questions
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Claim 4 of 6Not checkedFor CRRT anticoagulation, regional citrate anticoagulation is strongly recommended first-line for patients without bleeding risk, heparin is strongly recommended first-line for patients without bleeding risk but at risk of citrate accumulation, and RCA is strongly recommended first-line for patients with bleeding risk.View evidenceHide evidence
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Claim 5 of 6Not checkedThe guideline recommends starting RRT as early as possible in AKI patients with life-threatening fluid overload, electrolyte disturbances, or acid-base imbalances, and not delaying it when blood urea nitrogen is over 40 millimolars per liter or there is uremic encephalopathy.View evidenceHide evidence
As statedblood urea nitrogen levels over 40 millimolars per liter
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Claim 6 of 6Not checkedThe recommendations say either continuous RRT or intermittent RRT may be selected based on clinical condition and treatment goals, and urine output recovery is suggested as a reference criterion for trial discontinuation.View evidenceHide evidence
As statedover 600 mL in 24 h on the day prior, or over 1000 mL in 24 h on the day of liberation
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Clinical practice guideline for renal replacement therapy in critically ill patients with acute kidney injury (2026 edition)
Journal of Intensive Medicine · 2026
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Papers considered
The selected paper, plus nearby candidates.
Crossref, PubMed, Europe PMC · 16 candidate papers
Clinical practice guideline for renal replacement therapy in critically ill patients with acute kidney injury (2026 edition)
Journal of Intensive Medicine · 2026 · Crossref
Volume removal intolerance during net ultrafiltration in patients with acute kidney injury in the intensive care unit: protocol for a prospective multicentre observational study (VINKO).
BMJ Open · 2026 · PubMed, Europe PMC
Timing of Initiation of Kidney Replacement Therapy in Acute Kidney Injury in the Critically Ill Patient
Updates on Renal Replacement Therapy · 2024 · Crossref
Real-world modality selection and outcomes in neonatal kidney replacement therapy: a single-center cohort study.
2026 · Europe PMC
Adjunctive metolazone in critically ill children with moderate-to-severe acute kidney injury and furosemide-refractory fluid overload.
Pediatric Nephrology (Berlin, Germany) · 2026 · PubMed
The critically ill patient with acute kidney injury
Continuous Renal Replacement Therapy · 2009 · Crossref
And 10 more candidates considered.