The Korean Journal of Internal Medicine

Special Review: Korean J Med. 2015;88(4):369-374. Published online April 1, 2015.
DOI: https://doi.org/10.3904/kjm.2015.88.4.369; 중환자의 급성 신손상; 이은경¹, 장재원²; ¹단국대학교 의과대학 내과학교실
²울산대학교 의과대학 내과학교실; Acute Kidney Injury in Critically Ill Patients; Eun Kyoung Lee¹, Jai Won Chang²; ¹Department of Internal Medicine, 1Dankook University College of Medicine, Cheonan, Korea
²University of Ulsan College of Medicine, Seoul, Korea; Corresponding author: Jai Won Chang ,Tel: +82-2-3010-3260, Fax: +82-2-3010-6963, Email: jwchang@amc.seoul.kr

Abstract: Despite substantial advances in dialysis techniques and machines, acute kidney injury (AKI) requiring renal replacement therapy (RRT) is still associated with up to 60% in-hospital mortality. However, there is little information on whether RRT overcomes the significant morbidity and mortality of AKI. What is most important in the treatment of AKI is that RRT is not a cause-specific therapy but life-supportive management. This review discusses the indications of, proper initiation of, and optimal prescription for RRT to improve the survival of critically ill patients with AKI.

Keywords :Renal replacement therapy, Acute kidney injury