Review Article

Acute Kidney Injury: Controversies Revisited

Table 3

Recommended relative and absolute indications for RRT in critically ill patients with AKI [82].

Dialysis indicationCriteriaAbsolute/relative

MetabolicUrea > 27 mmol/LRelative
Urea > 35.7 mmol/LAbsolute
Hyperkalaemia > 6 mmol/LRelative
Hyperkalaemia > 6 mmol/L plus ECG changesAbsolute
DysnatraemiaRelative
Hypermagnesaemia > 4 mmol/LRelative
Hypermagnesaemia > 4 mmol/L plus anuria or areflexiaAbsolute

AcidosispH > 7.15Relative
pH < 7.15Absolute

Anuria/oliguriaRisk (RIFLE class)Relative
Injury (RIFLE class)Relative
Failure (RIFLE class)Relative
UO < 200 mL for 12 hrs or anuriaAbsolute

Uraemic complicationEncephalopathyAbsolute
PericarditisAbsolute
MyopathyAbsolute
NeuropathyAbsolute
BleedingAbsolute

Fluid overloadDiuretic responsiveRelative
Diuretic resistant (with pulmonary oedema)Absolute