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 Continuous Renal Replacement Therapy (CRRT) program tailored for your specific ICU needs.


A preferred modality to meet the evolving needs of your patients5-7

The reported incidence of acute kidney injury (AKI) among ICU patients varies, but up to ~25% of these patients may require renal replacement therapy.1-4 

Continuous renal replacement therapy (CRRT) is a preferred modality among many clinicians to achieve specific clinical goals for AKI management, providing flexibility to meet the evolving needs of each patient.5-7

Up to ~25% of ICU patients with AKI may require RRT

Managing your patients’ fluid needs

CRRT is the preferred renal replacement therapy modality for patients with AKI who are hemodynamically unstable or require precise fluid management.5-7

 

Managing your patients

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


Maintaining hemodynamic stability

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

Maintaining hemodynamic stability

Building a CRRT program for your ICU

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


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 train and educate you so that you can: 

 

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


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

Vantive Learning Services is your education partner and includes training for Acute Kidney Injury (AKI) and multi-organ support therapies. It provides critical care professionals with a range of specialist-tailored resources to support ICU staff in addressing broader challenges around staffing, productivity, quality, and efficiency. Offering comprehensive blended learning solutions are designed to support healthcare professionals at every stage of their career.

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

References
  1. 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. 

  2. 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. 

  3. 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.

  4. 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.

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

  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.