Nephrologie aktuell 2024; 28(05): 222-229
DOI: 10.1055/a-2254-7940
Schwerpunkt
Dialyse

Nierenersatztherapie in der Intensivmedizin

Spezialindikation: früher Beginn und erweiterter Organersatz
Philipp Enghard
1   Medizinische Klinik mit Schwerpunkt Nephrologie und Internistische Intensivmedizin der Charité – Universitätsmedizin Berlin, Berlin
,
Anne Krüger
1   Medizinische Klinik mit Schwerpunkt Nephrologie und Internistische Intensivmedizin der Charité – Universitätsmedizin Berlin, Berlin
,
Achim Jörres
2   Medizinische Klinik I Nephrologie, Transplantationsmedizin und internistische Intensivmedizin, Kliniken der Stadt Köln, Krankenhaus Merheim, Klinikum der Universität Witten/Herdecke, Merheim
› Author Affiliations

ZUSAMMENFASSUNG

Neben den klassischen Indikationen für die Nierenersatztherapie (NET) gibt es eine Reihe von Spezialindikationen sowie die Möglichkeit, mit Adsorbern oder speziellen Verfahren gezielt die Homöostase in verschiedenen Krankheitsbildern wiederherzustellen. Das macht die NET auf Intensivstation zu einem spannenden und dynamischen Feld mit vielfältigen Einsatzmöglichkeiten. Aktuell fehlt für die meisten Indikationen allerdings noch eine gute Datenbasis für die Anwendung der entsprechenden Verfahren, sodass derzeit kein Einsatz in der klinischen Routine (außerhalb klinischer Studien) empfohlen werden kann.



Publication History

Article published online:
25 June 2024

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