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Time-limited trials of dialysis in the intensive care unit: Are we timing dialysis initiation appropriately?

Urology & Nephrology Open Access Journal
Arjun Sekar, Associates in Kidney Care, USA


Patients in the intensive care with acute kidney injury (AKI) needing dialysis are acutely ill with poorer prognosis than those who do not have AKI. Initiating RRT can lead to worsened morbidity, extra suffering, and increased health care costs. We discuss the option of time limited trials (TLTs) of dialysis in this setting.


acute kidney injury, dialysis, renal physicians