About Continuous Renal Replacement Therapy
Key Highlights
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Provides gentle, continuous blood purification over 24 hours, ideal for unstable patients.Minimizes drastic shifts in blood pressure and fluid balance compared to standard dialysis.Effectively removes waste toxins, corrects electrolyte imbalances, and manages fluid overload.Allows for better nutritional support as it does not require prolonged fasting periods.Often used as a bridge to recovery or to more permanent renal replacement therapy.
Who is this surgery for?
- Acute Kidney Injury (AKI) in critically ill, hemodynamically unstable patients.
- Severe fluid overload that is unresponsive to diuretic medication.
- Life-threatening electrolyte imbalances (e.g., severe hyperkalemia).
- Intoxication from dialyzable substances in a critically ill patient.
- As a supportive therapy for patients with multi-organ failure in the ICU.
- Patients who cannot tolerate the rapid fluid shifts of intermittent hemodialysis.
How to prepare
- Comprehensive evaluation including blood tests, imaging, and assessment of overall stability.
- Placement of a large, dual-lumen central venous catheter (vascular access) by a specialist.
- Detailed explanation of the procedure, risks, and benefits to the patient or family.
- Monitoring and stabilization of blood pressure and other vital signs.
- Adjustment or withholding of certain medications as advised by the medical team.
Risks & possible complications
- Bleeding or hematoma at the catheter insertion site.
- Infection, including local site infection or bloodstream infection (sepsis).
- Clotting within the dialysis circuit or the vascular access catheter.
- Hypotension (low blood pressure) during therapy.
- Electrolyte imbalances if not monitored closely.
- Allergic reactions to components of the dialysis circuit or anticoagulants.
- Rare complications like air embolism or catheter-related vessel damage.
Recovery & hospital stay
- Recovery is part of the overall critical care management; the patient remains in the ICU.
- Continuous monitoring of vital signs, fluid balance, and blood chemistry.
- The CRRT machine is adjusted or weaned off as kidney function shows signs of recovery.
- Once stable, the vascular access catheter is removed, and the site is cared for to prevent infection.
- Long-term recovery focuses on treating the underlying cause of kidney injury and may involve follow-up with a nephrologist and urologist.
- Nutritional support and physical therapy are often integral parts of the recovery process.
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Typical hospital stay: ICU stay for duration of therapy (often 5-14 days)
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Expected recovery time: Varies widely; depends on underlying illness (weeks to months)
Frequently Asked Questions
If you are considering continuous renal replacement therapy in India, these questions and answers can help you make a confident, informed decision.
Popular choices for continuous renal replacement therapy in India include Miot Hospital Chennai, Kamineni Hospital LB Nagar, Manipal Hospital Old Airport Road, Manipal Hospital Bhubaneswar, Manipal Hospital Dwarka, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform continuous renal replacement therapy. MediFyr helps you compare urologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for continuous renal replacement therapy compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 15 Thousand – 40 Thousand | ICU stay for duration of therapy (often 5-14 days) | ~ Varies widely; depends on underlying illness (weeks to months) | Know More |
| Turkey | TRY 52.5 Thousand – 140 Thousand | ICU stay for duration of therapy (often 5-14 days) | ~ Varies widely; depends on underlying illness (weeks to months) | Know More |
Top hospitals for Continuous Renal Replacement Therapy in India
These partner hospitals in India have dedicated urology teams and experience managing patients undergoing continuous renal replacement therapy.
Vivaan Brown, a 68-year-old retired school...
Vivaan Brown, a 68-year-old retired school principal and grandfather of four, had a history of poorly controlled hypertension and Type 2 diabetes. He was admitted to the ICU with septic shock from a severe pneumonia. His blood pressure plummeted, and his kidneys abruptly stopped working, a condition known as acute kidney injury. He became critically ill, with dangerous levels of toxins and fluid building up in his body, causing swelling in his legs and lungs. His urologist, Dr. Sharma, explained that Vivaan was too unstable for traditional dialysis. He recommended Continuous Renal Replacement Therapy (CRRT), a gentler, 24-hour machine that would slowly and continuously clean his blood while supporting his blood pressure. Vivaan was sedated during the multi-day treatment. The machine hummed quietly by his bedside, filtering his blood as his family kept vigil. After five days on CRRT, his blood pressure stabilized, and his kidney function began to show signs of recovery. He was successfully transitioned off the machine. The emotional journey was harrowing for his family; they feared they were losing the gentle patriarch of their family. After the procedure, seeing Vivaan awake, coherent, and on the path to recovery brought immense relief and cautious hope. Vivaan himself, though weak, felt a profound gratitude for the technology and team that pulled him back from the brink.
Urologists for Continuous Renal Replacement Therapy
Explore experienced urologists who regularly perform continuous renal replacement therapy and provide pre- and post-operative care in India.
- 17 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 6 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 8 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 26 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 20 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 24 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
- 17 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 16 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 36 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 39 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 15 Years Experience
- Urologist
Manipal Hospital Patiala, Patiala
- 16 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore
- 13 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore