This is a medical treatment frequently performed when kidney function is precipitously lowered (acute kidney injury), and for highly severe clinical conditions such as hepatic failure after surgery, severe acute pancreatitis, fulminant hepatitis, etc. When kidney function is precipitously lowered, recovery can be expected by removing the cause.
Mainly in such cases, CRRT is used temporarily as an alternative to the kidney function such as for removal of waste products in blood, fluid removal etc., and for removal of poisonous constituents and harmful substances that result in precipitous lowering of kidney function.
Since it is mainly used for highly severe patients, it is necessary to perform treatment gradually and slowly over time so as not to change the concentration and circulation blood volume, as well as blood pressure precipitously. It generally takes twenty-four hours or more per treatment. This is a medical treatment that is mainly performed in the ICU (intensive-care unit), CCU (coronary care unit), or Emergency Medical Center.
CRRT is applied for patients with acute renal failure (ARF) who also suffer from severe complications, such as multiple organ failure or imperfections in their cardiac and circulatory system, such as cardiac insufficiency and oedema. In addition to renal failure, CRRT may also be applied for conditions like multiple organ failure, serve acute pancreatitis, fulminant hepatitis, postoperative liver failure
Prof (Dr) D Mukherjee is an alumnus of the prestigious Armed Forces Medical College, Pune where he did his MBBS & MD (Medicine). Subsequently he went on to do his DM (Nephrology) from PGIMER Chandigarh, which is the foremost training institution for nephrology in India.