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Is there benefit to performing CVVH instead of intermittent hemodialysis for a patient with AKI secondary to rhabdomyolysis who requires renal replacement therapy?

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Do you prefer CVVH over intermittent hemodialysis for a patient with AKI secondary to rhabdomyolysis who requires renal replacement therapy?

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1 Answer
Mednet Member
Mednet MemberInvited Expert
Nephrology · Rush Medical College
Answered on

My CRRT threshold is low, but a patient with AKI and rhabdo will have continuous K and Phos release from dead cells so I prefer a continuous therapy. This depends on the degree of rhabdo and the degree of AKI, but would lean towards CRRT for a moderate to bad rhabdo, same for TLS and same with acute...

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