Review

. 2016 Oct 10;20(1):283.

doi: 10.1186/s13054-016-1456-5.

Nomenclature for renal replacement therapy and blood purification techniques in critically ill patients: practical applications

Gianluca Villa^{1

2}, Mauro Neri^{1

3}, Rinaldo Bellomo⁴, Jorge Cerda⁵, A Raffaele De Gaudio², Silvia De Rosa¹, Francesco Garzotto¹, Patrick M Honore⁶, John Kellum⁷, Anna Lorenzin¹, Didier Payen⁸, Zaccaria Ricci⁹, Sara Samoni¹⁰, Jean-Louis Vincent¹¹, Julia Wendon¹², Marta Zaccaria¹, Claudio Ronco¹³; Nomenclature Standardization Initiative (NSI) Alliance

Collaborators, Affiliations

Collaborators

Nomenclature Standardization Initiative (NSI) Alliance:
S M Bagshaw, A Balducci, I Baldwin, F Barbarigo, R Bellomo, P Braganò, J Braunsky, F Calletti, J Cerda, L Chawla, S De Rosa, S Di Somma, K Doi, P Dosil Rosende, M Emmett, L Fecondini, D Galavotti, F Garzotto, N Gibney, S L Goldstein, G Guadagni, P Honoré, E Hoste, S Inadome, K Kashani, N Katz, J Kellum, R Kenley, Y Kobayashi, J Lannoy, A Lewington, A Lorenzin, F Mariano, P A McCullough, R L Mehta, J Menneguerre, M Mettifogo, M Neri, M Ostermann, A Pani, P Pirazzoli, R Pohlmeier, D Pouchoulin, Z Ricci, C Ronco, M Rosner, M Seamann, A Shaw, A Tolwani, G Villa, J L Vincent, J Wendon

Affiliations

¹ Department of Nephrology, Dialysis and Transplantation, International Renal Research Institute of Vicenza, San Bortolo Hospital, Viale Rodolfi 37, 36100, Vicenza, Italy.
² Department of Health Sciences, Section of Anaesthesiology, Intensive Care and Pain, University of Florence, Florence, Italy.
³ Department of Management and Engineering, Universityof Padova, Vicenza, Italy.
⁴ Department of Intensive Care, Austin Hospital, Department of Epidemiology and Preventive Medicine, Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia.
⁵ Department of Medicine, Albany Medical College, Albany, New York, 12209, USA.
⁶ Intensive Care Department, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium.
⁷ Center for Critical Care Nephrology, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
⁸ Service d'Anesthésie-Réanimation-SMUR, Lariboisière AP-HParis, Université Paris Diderot-Paris, Paris, France.
⁹ Department of Pediatric Cardiac Surgery, Bambino Gesù Children's Hospital, Rome, Italy.
¹⁰ Institute of Life Sciences, Sant'Anna School of Advances Studies, Pisa, Italy.
¹¹ Department of Intensive Care, Erasme Hospital, Université libre de Bruxelles, Brussels, Belgium.
¹² Liver Intensive Therapy Unit, Institute of Liver Studies, King's College London, Denmark Hill Campus, London, UK.
¹³ Department of Nephrology, Dialysis and Transplantation, International Renal Research Institute of Vicenza, San Bortolo Hospital, Viale Rodolfi 37, 36100, Vicenza, Italy. cronco@goldnet.it.

PMID: 27719676
PMCID: PMC5056485
DOI: 10.1186/s13054-016-1456-5

Review

Nomenclature for renal replacement therapy and blood purification techniques in critically ill patients: practical applications

Gianluca Villa et al. Crit Care. 2016.

. 2016 Oct 10;20(1):283.

doi: 10.1186/s13054-016-1456-5.

Authors

Collaborators

Nomenclature Standardization Initiative (NSI) Alliance:
S M Bagshaw, A Balducci, I Baldwin, F Barbarigo, R Bellomo, P Braganò, J Braunsky, F Calletti, J Cerda, L Chawla, S De Rosa, S Di Somma, K Doi, P Dosil Rosende, M Emmett, L Fecondini, D Galavotti, F Garzotto, N Gibney, S L Goldstein, G Guadagni, P Honoré, E Hoste, S Inadome, K Kashani, N Katz, J Kellum, R Kenley, Y Kobayashi, J Lannoy, A Lewington, A Lorenzin, F Mariano, P A McCullough, R L Mehta, J Menneguerre, M Mettifogo, M Neri, M Ostermann, A Pani, P Pirazzoli, R Pohlmeier, D Pouchoulin, Z Ricci, C Ronco, M Rosner, M Seamann, A Shaw, A Tolwani, G Villa, J L Vincent, J Wendon

Affiliations

¹ Department of Nephrology, Dialysis and Transplantation, International Renal Research Institute of Vicenza, San Bortolo Hospital, Viale Rodolfi 37, 36100, Vicenza, Italy.
² Department of Health Sciences, Section of Anaesthesiology, Intensive Care and Pain, University of Florence, Florence, Italy.
³ Department of Management and Engineering, Universityof Padova, Vicenza, Italy.
⁴ Department of Intensive Care, Austin Hospital, Department of Epidemiology and Preventive Medicine, Australian and New Zealand Intensive Care Research Centre, Monash University, Melbourne, Victoria, Australia.
⁵ Department of Medicine, Albany Medical College, Albany, New York, 12209, USA.
⁶ Intensive Care Department, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium.
⁷ Center for Critical Care Nephrology, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
⁸ Service d'Anesthésie-Réanimation-SMUR, Lariboisière AP-HParis, Université Paris Diderot-Paris, Paris, France.
⁹ Department of Pediatric Cardiac Surgery, Bambino Gesù Children's Hospital, Rome, Italy.
¹⁰ Institute of Life Sciences, Sant'Anna School of Advances Studies, Pisa, Italy.
¹¹ Department of Intensive Care, Erasme Hospital, Université libre de Bruxelles, Brussels, Belgium.
¹² Liver Intensive Therapy Unit, Institute of Liver Studies, King's College London, Denmark Hill Campus, London, UK.
¹³ Department of Nephrology, Dialysis and Transplantation, International Renal Research Institute of Vicenza, San Bortolo Hospital, Viale Rodolfi 37, 36100, Vicenza, Italy. cronco@goldnet.it.

PMID: 27719676
PMCID: PMC5056485
DOI: 10.1186/s13054-016-1456-5

Abstract

This article reports the conclusions of the second part of a consensus expert conference on the nomenclature of renal replacement therapy (RRT) techniques currently utilized to manage acute kidney injury and other organ dysfunction syndromes in critically ill patients. A multidisciplinary approach was taken to achieve harmonization of definitions, components, techniques, and operations of the extracorporeal therapies. The article describes the RRT techniques in detail with the relevant technology, procedures, and phases of treatment and key aspects of volume management/fluid balance in critically ill patients. In addition, the article describes recent developments in other extracorporeal therapies, including therapeutic plasma exchange, multiple organ support therapy, liver support, lung support, and blood purification in sepsis. This is a consensus report on nomenclature harmonization in extracorporeal blood purification therapies, such as hemofiltration, plasma exchange, multiple organ support therapies, and blood purification in sepsis.

Keywords: CRRT machine; Continuous plasmafiltration coupled with adsorption; Continuous veno-venous hemodiafiltration; Continuous veno-venous hemodialysis; Continuous veno-venous hemofiltration; Hemoperfusion; High volume hemofiltration; Pressure sensor; Pump; Terminology.

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Figures

**Fig. 1**
The CRRT machine (see the text for explanation of numbered components)

**Fig. 2**
Main extracorporeal therapies and treatments (modified from [5]) *Abbreviations*: Q _B blood flow rate, Q _UF ^NET net ultrafiltration flow rate, Q _UF ultrafiltration flow rate, Q _D dialysate flow rate, Q _R total replacement flow rate, Q _EFF effluent flow rate, Q _P-R replacement plasma flow rate, Q _P-UF plasma ultrafiltration flow rate, *SCUF* slow continuous ultrafiltration, *CVVH* continuous veno-venous hemofiltration, *CVVHD* continuous veno-venous hemodialysis, *CVVHDF* continuous veno-venous hemodiafiltration, *CVVHFD-SLED* continuous veno-venous high-flux dialysis–sustained low-efficiency dialysis, *TPE* therapeutic plasma exchange, HP hemoperfusion, *CPFA* continuous plasma filtration coupled with adsorption, *HVHF* high-volume hemofiltration

See this image and copyright information in PMC

References

1. Ronco C. The Charta of Vicenza. Blood Purif. 2015;40(1):I–V. doi: 10.1159/000431156. - DOI - PubMed
1. Kellum JA, Bellomo R, Ronco C. Acute Dialysis Quality Initiative (ADQI): methodology. Int J Artif Organs. 2008;31(2):90–3. - PubMed
1. Ronco C, Bellomo R. Continuous renal replacement therapies: the need for a standard nomenclature. Contrib Nephrol. 1995;116:28–33. doi: 10.1159/000424609. - DOI - PubMed
1. Ronco C, Bellomo R. Continuous renal replacement therapy: evolution in technology and current nomenclature. Kidney Int Suppl. 1998;66:S160–4. - PubMed
1. Cerda J, Ronco C. Modalities of continuous renal replacement therapy: technical and clinical considerations. Semin Dial. 2009;22(2):114–22. doi: 10.1111/j.1525-139X.2008.00549.x. - DOI - PubMed

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Nomenclature for renal replacement therapy and blood purification techniques in critically ill patients: practical applications

Collaborators

Affiliations

Nomenclature for renal replacement therapy and blood purification techniques in critically ill patients: practical applications

Authors

Collaborators

Affiliations

Abstract

Figures

References

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical