Continuous Renal Replacement Therapy (CRRT)

Continuous Renal Replacement Therapy (CRRT) is a specialized form of hemodialysis that is performed continuously over an extended period of time, typically 24 hours a day, to manage acute kidney injury (AKI) or other critically ill patients with renal dysfunction. Here's an overview of CRRT, including its indications, risks, and benefits: 

  • Indications: CRRT is indicated in patients with AKI or acute-on-chronic kidney disease (CKD) who require intensive renal support due to severe renal dysfunction, fluid overload, electrolyte imbalances, or other complications. It is commonly used in critically ill patients in the Intensive Care Unit (ICU), such as those with sepsis, multi-organ dysfunction syndrome (MODS), or post-surgery. 
  • Procedure: CRRT involves the continuous removal of waste products, excess fluids, and electrolytes from the blood using a specialized machine and filter system. The blood is continuously circulated through the machine, and the filtered blood is returned to the patient. CRRT is typically performed by trained ICU staff under the guidance of a nephrologist. 
  • Risks: Like other forms of hemodialysis, CRRT carries some risks, including bleeding, infection, clotting of the filter, air or blood leaks, electrolyte imbalances, and changes in blood pressure. Close monitoring and careful management are required to minimize these risks and ensure safe and effective therapy. 
  • Benefits: CRRT provides continuous, gentle, and precise removal of waste products, excess fluids, and electrolytes from the body, which can help manage acute kidney injury, fluid overload, and electrolyte imbalances in critically ill patients. It allows for close monitoring and adjustments of the treatment parameters to tailor the therapy to the patient's specific needs. 

The Nephrology Department at Sterling Hospitals Ahmedabad is well-equipped with state-of-the-art CRRT machines and a skilled team of nephrologists and ICU staff experienced in managing CRRT for critically ill patients. The department follows best practices and guidelines to ensure safe and effective CRRT therapy, and provides comprehensive care for patients with AKI or other renal disorders.