ABSTRACT
Fluid management is an integral component in the management of patients with acute renal failure (ARF) in the intensive care unit (ICU) setting. In the presence of a failing kidney, fluid removal is often a challenge and requires the use of high-dose diuretics with a variable response. It is often necessary in this setting to institute dialysis for volume control rather than metabolic control. Continuous renal replacement therapy (CRRT) techniques offer a significant advantage over intermittent dialysis for fluid control, however, if not carried out appropriately they can result in major complications. In order to utilize these therapies for their maximum potential, it is necessary to recognize the factors that influence fluid balance and have an understanding of the principles of fluid management with these techniques (1-4).
