Complications in continuous renal replacement techniques: a literature review

Abstract

Introduction: One of the treatments for acute renal failure is continuous renal replacement techniques, affecting 25% of patients hospitalized in intensive care units. Renal replacement techniques are considered an important technological advance to treat patients with ARF, allowing greater purifying quality and better control of complications and reducing mortality in these patients. Objective: For this reason, the main objective of this study is to analyze the most frequent complications of continuous renal replacement techniques, reviewing the scientific evidence from a nursing point of view in patients hospitalized in an intensive care unit. Method: A bibliographic search was carried out in four Health Sciences databases (PubMed, Elsevier, Ibecs and UpTodate) from which a significant number of valid articles were obtained for the review. Results: A total of 2436 articles were obtained, of which, after the exclusion criteria applied, 14 were selected for review. Conclusions: To guarantee success in continuous renal replacement techniques, it is essential to have a protocol in which the technique of the procedure carried out by the nursing staff must be collected, as well as the care required by patients, and a nursing team excellently trained in knowledge and skills, to be able to face and anticipate any type of complication in this type of therapy.