Focus Instead on Determining Lower Limit of Continuous Renal Replacement Therapy

Several studies have established that if the effluent volume for continuous renal replacement therapy is greater than 20 to 25mL/kg/h, there is no difference in patient prognosis. The recent randomized controlled trial by Park et al1 showed no difference in mortality between the conventional (40mL/kg/h) and high-dose (80mL/kg/h) groups. A number of prior studies addressed the same set of issues related to dialysis dose in continuous dialysis therapy. Ronco et al2 reported in 2000 that the dose should reach 35mL/kg/h.