Table 4.
Dialytic modality | Indication | Benefit | Limitations/risk |
---|---|---|---|
Peritoneal dialysis (PD) | Fluid overload, mild-moderate AKI | Ease of access, decreased time to negative fluid balance | Peritonitis, relatively decreased filtration efficiency [45] |
Intermittent hemodialysis (IHD) | Fluid overload, AKI | Rapid fluid & solute removal | Rapid fluid shift [46] |
Continuous renal replacement therapy (CRRT) | Critically-ill patients, severe AKI, fluid overload | Avoidance of major fluid shifts; controlled removal of fluid | Complexity of implementation [44] |
Continuous venovenous hemodiafiltration (CVVHDF) | Severe AKI & fluid overload | Highly-efficient filtration method to remove both solutes & fluids | Hypotension, hypothermia, bleeding [47] |
AKI, acute kidney injury.