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Editorial
. 2020 Apr;8(7):422.
doi: 10.21037/atm.2020.03.96.

Preemptive kidney support: an optimal practice or a good theory?

Zaccaria Ricci  1 , Fiorenza Ferrari  2 , Stefano Romagnoli  3
Affiliations
Editorial

Preemptive kidney support: an optimal practice or a good theory?

Zaccaria Ricci et al. Ann Transl Med. 2020 Apr.
No abstract available

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Conflict of interest statement

Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/atm.2020.03.96). The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
The decision between the so-called early kidney support therapy (KST) and the standard “delayed” approach of renal replacement therapy (RRT) is a challenging task and the scale balance should be checked after including several factors. (A) The cardiac surgery setting, rapidly accessible materials and skilled clinicians, urgent indications (i.e., electrolyte disturbances and acid-base derangements) and fluid overload (i.e., exceeding 5–10%) are probably important factors to be considered when the decision to start early KST has to be made; (B) differently, the residual capacity of the kidneys of maintaining solute control and fluid balance, or its partial loss, especially in the setting of a center lacking expert operators in extracorporeal circulation or a readily available nephrological staff should not endorse an “anticipated” or pre-emptive dialytic treatment.
See this image and copyright information in PMC

Comment on

References

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