Dr So Sheung On
Intensive Care Unit, United Christian Hospital (December 2001 Critical Care Medicine Exit Assessment Exercise)
Abstract
Since the advent of Continuous Renal Replacement Therapy (CRRT), it had become a favorable method of renal replacement for critically ill patients with acute renal failure. The advantages of CRRT include improved hemodynamic stability, optimal fluid balance, gradual urea removal, adequate supply of nutrition and elimination of septic mediators. A retrospective survey was done to study the practice and experience of CRRT in the ICU of United Christian Hospital. This is followed by a literature review of the theoretical and practical aspects of the therapy. The anticoagulation strategies, concept of blood purification and outcome measures of ARF are discussed.