Which dialysis method should be used for patients with COVID-19?

Patricia Maria Gregoria Mina-cuañ; o; Cary Amiel G Villanueva; John Jefferson V Besa; Andrew Rufino M Villafuerte; Jayson M Villavicencio; Vincent Anthony S Tang; Lia M Palileo-villanueva

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Which dialysis method should be used for patients with COVID-19?

Author: Patricia Maria Gregoria Mina-Cuaño ¹ ; Cary Amiel G. Villanueva ¹ ; John Jefferson V. Besa ¹ ; Andrew Rufino M. Villafuerte ¹ ; Jayson M. Villavicencio ¹ ; Vincent Anthony S. Tang ¹ ; Lia M. Palileo-Villanueva ²
Author Information

1. Department of Medicine, Philippine General Hospital, University of the Philippines Manila
2. Department of Medicine, College of Medicine, University of the Philippines Manila
Publication Type:Review
MeSH: Covid-19
From: Acta Medica Philippina 2020;54(Rapid Reviews on COVID19):120-124
CountryPhilippines
Language:English
Abstract: Key Findings:• Very low-quality evidence from a single retrospective study suggests that continuous renal replacement therapy (CRRT) may reduce mortality among COVID-19 patients on invasive mechanical ventilation. Guidelines recommend CRRT for critically ill patients to minimize the risk of possible transmission, if this option is available. • Although uncommon, acute kidney injury (AKI) can occur in association with coronavirus disease 2019 (COVID-19) and is associated with increased in-hospital mortality. • There are currently no published or ongoing clinical trials directly comparing dialysis modalities for acute kidney injury in COVID-19 patients. • In reducing the risk of transmission during dialysis: currently, there are no studies comparing one dialysis modality to another. The method of dialysis is still primarily determined by the clinical picture of the patient, the expertise of the center, and the resources available. The American Society of Nephrology (ASN) recommends CRRT over intermittent hemodialysis (IHD) for critically ill patients with COVID-19 to minimize patient contact when it is available, and resources allow. Otherwise, intermittent hemodialysis may be done provided that, infection control measures are strictly followed. • Several international and local guidelines recommend strict adherence to infection prevention and control measures (e.g. hand hygiene, physical distancing, proper use of personal protective equipment (PPE), and cohorting of patients) who are undergoing dialysis.