In contrast to the situation of patients receiving maintenancedialysis, in which information from large, standardized databases may give us insight into potential management strategies,when it comes to devising treatment approaches to patients withacute renal failure, we are sailing in stormy waters withoutbeacons or buoys. Mortality rates among patients with acuterenal failure can be quite high, but this diagnosis encompassesa broad mix of patients. In the case of a patient who is anappropriate candidate for renal-replacement therapy, four questionsmust be answered: When should renal-replacement therapy be started?What type should be used? . . . [Full Text of this Article]
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