What is the role of dialysis in the treatment of acute kidney injury (AKI)?

Updated: Dec 24, 2020
  • Author: Biruh T Workeneh, MD, PhD, FASN; Chief Editor: Vecihi Batuman, MD, FASN  more...
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Answer

Dialysis, especially hemodialysis, may delay the recovery of patients with AKI. Most authorities prefer using biocompatible membrane dialyzers for hemodialysis. Indications for dialysis (ie, renal replacement therapy) in patients with AKI are as follows:

  • Volume expansion that cannot be managed with diuretics

  • Hyperkalemia refractory to medical therapy

  • Correction of severe acid-base disturbances that are refractory to medical therapy

  • Severe azotemia (BUN >80-100)

  • Uremia


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