Resumen

CORREA BEAURREGARD, Nancy Rubí; LOPEZ FERMIN, Jorge; SANCHEZ DOMINGUEZ, Karla Patricia  y  LUIS RUIZ, Miguel Ángel. Acute kidney injury and continuous slow renal support therapy in the intensive care unit; a window of probability in the Mexican population; from art to reality. Med. crít. (Col. Mex. Med. Crít.) [online]. 2024, vol.38, n.7, pp.575-580.  Epub 29-Sep-2025. ISSN 2448-8909.  https://doi.org/10.35366/119530.

Acute kidney injury is a frequent condition in critically ill patients, who may require renal replacement therapy. The prescription modality continues to be a fundamental pillar due to the cost-benefit involved. The prescription of a replacement therapy modality is still unclear in the indications and criteria established in the literature (ELAIN, AKIKI, IDEAL ICU, STARRT AKI and AKIKI-2) for subjecting patients with controversial critical pathologies to continuous and commonly manipulated slow renal therapies at convenience in intensive care units, even in an empirical or industry-influenced manner. In analyzing this problem in the lack of congruence in decision making in our hospital center, a local study was carried out in order to obtain the outcome of patients who initiate continuous slow renal replacement therapy in their first hours of stay in the unit, observing a survival rate without a relevant clinical effect. Considering the limitations such as the heterogeneity of the variables involved (severity of the conditioning disease, prescription, modalities, demographic data of the population studied), our working group conducted the following study in order to obtain lines of research with data from the population of southeastern Mexico.

Palabras llave : acute kidney injury; continuous renal replacement therapy; intensive care unit; metabolic acidosis.

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