Journal article

Design and challenges of the Randomized Evaluation of Normal versus Augmented Level Replacement Therapy (RENAL) Trial: High-dose versus standard-dose hemofiltration in acute renal failure

R Bellomo, A Cass, L Cole, S Finfer, M Gallagher, D Goldsmith, J Myburgh, R Norton, C Scheinkestel, A Banarjee, D Bhonagiri, D Blythe, J Botha, J Cade, G Dobb, J Eddington, A Flabouris, C French, P Garrett, S Henderson Show all

Blood Purification | KARGER | Published : 2008

Abstract

Background/Aims: The optimal dose of renal replacement therapy (RRT) in acute renal failure (ARF) is uncertain. Methods: The Randomized Evaluation of Normal versus Augmented Level Replacement Therapy Trial tests the hypothesis that higher dose continuous veno-venous hemodiafiltration (CVVHDF) at an effluent rate of 40 ml/kg/h will increase survival compared to CVVHDF at 25 ml/kg/h of effluent dose. Results: This trial is currently randomizing critically ill patients in 35 intensive care units in Australia and New Zealand with a planned sample size of 1,500 patients. This trial will be the largest trial ever conducted on acute blood purification in critically ill patients. Conclusion: A trial..

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University of Melbourne Researchers