What is the primary goal of dialysis for AKI patients?

The primary goal of dialysis for patients with acute kidney injury (AKI) is to support the patient until kidney function returns. In cases of AKI, the kidneys may not be able to perform their essential functions effectively, which can lead to the accumulation of waste products, fluids, and electrolytes. Dialysis serves as a temporary measure to manage these complications while the kidneys recover.

This approach recognizes that many patients with AKI may experience spontaneous recovery of renal function, making it imperative to provide supportive care rather than seeking a permanent solution through complete restoration or elimination of all toxins. The focus is on maintaining homeostasis and preventing complications until the underlying cause of the AKI is addressed and the kidneys have the opportunity to heal.

While complete restoration of kidney function and elimination of all toxins are desirable outcomes, they do not accurately reflect the primary aim of dialysis within the context of AKI management. Enhancing dietary intake, while important, is not the primary goal of dialysis, which is primarily concerned with removing excess fluid and waste products from the bloodstream during the period of kidney impairment.