A girl lies in a hospital bed while a healthcare professional attends to her. There is a PrisMax device in the background.

Getting Started With CRRT

Build a CRRT program tailored for your specific ICU needs.

A preferred modality to meet the evolving needs of your patients1

The reported incidence of acute kidney injury (AKI) among ICU patients varies, but up to ~25% of these patients may require renal replacement therapy.2-5 

Continuous renal replacement therapy (CRRT) is a modality that enables clinicians to achieve specific goals for AKI management, providing flexibility to meet the evolving needs of each patient.

A preferred modality to meet the evolving needs of your patients

Managing your patients' fluid needs

CRRT is the preferred renal replacement therapy modality for patients with AKI who are haemodynamically unstable or require precise fluid management.1 

Figure adapted from ADQI 17 at https://adqi.org/images and licensed under a Creative Commons Attribution License: http://creativecommons.org/licenses/by/2.0

Managing your patients’ fluid needs - chart

Maintaining haemodynamic stability

Existing medical evidence suggests that CRRT may be better able to maintain haemodynamic stability while removing fluid, compared with IHD and SLED.8-10

Managing your patients fluid needs graph

Building a CRRT program for your ICU

Talk to our team of clinical specialists to explore your options to build a CRRT program and discover why we will be your trusted expert and partner throughout the process.

Contact Vantive

Helping you every step of the way

A successful CRRT program starts with a CRRT champion or committee and incorporates several key elements.11

We are here to help step by step, as you:

Step 1.    Secure the devices and solutions you need
Step 2.   Create policies to manage therapy
Step 3.   Create standardised protocols for CRRT in your ICU
Step 4.   Educate and train your physicians and nurses 
Step 5.   Monitor patient data to adjust therapy

Talk with a Vantive representative to take the first step

Your partner in providing the education you need to start a CRRT program

Education is a critical component of starting your CRRT program so physician and nursing teams are well-trained in acute kidney injury.11 Vantive provides an evolving offering of blended-learning resources through the Vantive Learning Services on-demand learning hub. This on-demand learning hub is specifically curated for critical care healthcare professionals and designed to enable you to handle challenging situations with certainty and confidence.

Vantive Learning Services on-demand learning hub
Healthcare professional looks at the Vantive Critical Care Academy website on their desktop computer
Vantive Learning Services on-demand learning hub

A podcast series to help you get started

So many questions arise when starting to think about adding a CRRT program to your ICU. In this series of podcasts developed in collaboration with KDIGO, listen to experts discuss relevant parameters for when to offer, start, and stop CRRT therapy in critically ill patients.

KDIGO podcasts

Related products

Vantive Prismaflex and PrisMax are trademarks of Vantive Health LLC or its affiliates.

References

  1. KDIGO Acute Kidney Injury Work Group. KDIGO Clinical Practice Guideline for Acute Kidney Injury. Kidney Int Suppl. 2012;2(1):1-138.

  2. Bouchard J, Acharya, A, Cerda J, et al. A prospective international multicenter study of AKI in the intensive care unit. Clin J Am Soc Nephrol. 2015;10(8):1324-1331. 

  3. Uchino S, Kellum JA, Bellomo R, et al. Acute renal failure in critically ill patients: a multinational, multicenter study. JAMA. 2005;294(7):813–818. 

  4. De Corte W, Dhondt A, Vanholder R, et al. Long-term outcome in ICU patients with acute kidney injury treated with renal replacement therapy: a prospective cohort study. Crit Care. 2016;20:256.

  5. Garzotto F, Ostermann M, Martín-Langerwerf D, et al. The dose response multicentre investigation on fluid assessment (DoReMIFA) in critically ill patients. Crit Care. 2016;20:196.

  6. Ronco C, Ricci Z, De Backer D, et al. Renal replacement therapy in acute kidney injury: controversy and consensus. Crit Care. 2015;19(1):146. 

  7. Ostermann M, Joannidis M, Pani A, et al. Patient selection and timing of continuous renal replacement therapy. Blood Purif. 2016;42(3):224-237. 

  8. Augustine JJ, Sandy D, Seifert TH, Paganini EP. A randomized controlled trial comparing intermittent with continuous dialysis in patients with ARF. Am J Kidney Dis. 2004;44(6):1000-1007. 

  9. Bagshaw SM, Berthiaume LR, Delaney A, Bellomo R. Continuous versus intermittent renal replacement therapy for critically ill patients with acute kidney injury: a meta-analysis. Crit Care Med. 2008;36(2):610-617.

  10. Fieghen HE, Friedrich JO, Burns KE, et al. The hemodynamic tolerability and feasibility of sustained low efficiency dialysis in the management of critically ill patients with acute kidney injury. BMC Nephrol. 2010;11:32.

  11. De Becker W. Starting up a continuous renal replacement therapy program on ICU. In: Ronco C, Bollomo R, Kellum JA, eds. Contributions to Nephrology: Acute Kidney Injury. Basel, Karger; 2007:185-190.