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. 2016 Jan 25;5:F1000 Faculty Rev-103. [Version 1] doi: 10.12688/f1000research.6935.1

Table 1. Intermittent vs Continuous vs Extended Dialysis.

Advantages Disadvantages Contraindications
Intermittent
Hemodialysis (IHD)
    • Short duration
    • No/short/less anticoagulation
      (reduced risk of bleeding).
    • Higher efficiency for immediate
      small water-soluble removal
      (life-threatening hyperkalemia)
    • Less bed rest
    • Flexibility of use: machines can be
       used in an extended protracted
       mode (increase in efficacy)
    • Bags cost saving
    • Technical skills (trained
       personnel) and technical
       infrastructure (dedicated
       areas with water connection)
    • Clearance rebound
    • Hemodynamic impact/instability
    • Potential higher risk of dialysis
      dependence
    • Traumatic brain
       injury
Continuous Renal
Replacement Therapy
(CRRT)
    • Hemodynamic stability (less
       cardiovascular impact) → higher
       potential recovery of kidney function
    • ICU staff may handle these
       treatments autonomously
    • Superior solute removal and volume
       control (in a 24 hours lasting session)
    • Administration of parenteral nutrition
       fluids
    • Downtime may impair efficiency
    • Continuous systemic
      (heparin) or regional (citrate)
      anticoagulation (higher risk
      of patient’s bleeding or filter
      clotting)
    • Bed rest is necessary
    • Higher cost
    • Lower efficiency than IHD
      (hyperkalemia)
    • Risk of hypothermia
    • Patients needing
       mobilization
Sustained Low-Efficiency
Daily Dialysis (SLEDD)
or Prolonged intermittent
RRT (PIRRT)
    • Easy
    • Good flexibility of sessions administration
      (6–12 hours or overnight treatment)
    • Higher possibility for patient mobility
    • Hemodynamic stability
    • Relatively low anticoagulation
       requirement
    • Bags cost saving
    • Technical skills (trained
       personnel) and technical
       infrastructure (dedicated
       areas with water connection)
    • Hypophosphatemia
    • Hypothermia
    • Low efficiency
    • None