Would you recommend initially starting twice-weekly outpatient hemodialysis with close lab monitoring for nonoliguric AKI patients?

It is unusual in my experience to initiate dialysis for AKI as an outpatient. More often, patients with prolonged dialysis-requiring AKI may need to be transitioned from an inpatient setting to outpatient dialysis while awaiting improvement in kidney function. The question of when to initiate dialys...

I agree with Dr. @Dr. First Last comments. I know of no specific contraindication to using twice-weekly outpatient hemodialysis in patients who have AKI and are closely monitored but have a theoretical issue to consider. The major theoretical concern is the need to remove larger amounts of fluid whe...

Would decide on dialysis frequency based on patient factors such as volume, clearance needs and residual renal function.