ABSTRACT
Acute kidney injury (AKI), formerly termed acute renal failure, is a global concern, but is potentially preventable and treatable. Evidence has shown knowledge of AKI amongst healthcare professionals tends to be poor in both HIC and LIC. J. W. Stanifer and A. Sharma propose for patients with AKI that require continuous renal replacement therapy (CRRT) it is an appropriate intervention in critical care given most people affected are younger, economically active, whereas the provision of dialysis is for chronic renal failure and patients tend to be older and chronically ill. The US research into the use of CRRT in the Iraq conflict reported AKI secondary to traumatic injuries is a rare complication, albeit one with poor outcome. S. Perkins et al. reported the challenge of providing CRRT to local nationals when there are no renal services or critical care units with a CRRT capability; they identified this as an ethical dilemma.
