A 70-year-old man with septic shock and AKI (anuria, K⁺ 6.8, pH 7.15, lactate 8 mmol/L) is haemodynamically unstable on noradrenaline. Standard

Question

A 70-year-old man with septic shock and AKI (anuria, K⁺ 6.8, pH 7.15, lactate 8 mmol/L) is haemodynamically unstable on noradrenaline. Standard intermittent haemodialysis causes further hypotension. What is the most appropriate dialysis modality?

Accepted Answer

Continuous renal replacement therapy (CRRT)

Answer

Haemodialysis via tunnelled central venous catheter

Answer

Conservative (non-dialytic) management

Answer

Peritoneal dialysis via Tenckhoff catheter

Answer

Haemodialysis via AV fistula

CRRT in ICU — RACP Adult Medicine MCQ

A 70-year-old man with septic shock and AKI (anuria, K⁺ 6.8, pH 7.15, lactate 8 mmol/L) is haemodynamically unstable on noradrenaline. Standard intermittent haemodialysis causes further hypotension. What is the most appropriate dialysis modality?