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Review Article
Nephrology
Dialysis decision in critically ill patients in intensive care unit
Harin Rhee
Acute Crit Care. 2025;40(1):1-9.   Published online February 28, 2025
DOI: https://doi.org/10.4266/acc.004896
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AbstractAbstract PDF
The 2012 Kidney Disease Improving Global Outcomes guidelines clearly define emergent indications for kidney replacement therapy; however, whether dialysis should be initiated in critically ill patients without these indications remains unclear. This review briefly summarizes the results of recent landmark trials and discusses their limitations originating from a criteria-based approach at a single time point. Moreover, a personalized approach based on each patient’s demand-capacity balance and its future benefits as a platform for kidney support therapy in critically ill patients are discussed.

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