Sustained low-efficiency dialysis for metformin-associated lactic acidosis in patients with acute kidney injury.
Paolo GrecoGiuseppe RegolistiUmberto MaggioreElena FerioliFilippo FaniCarlo LocatelliElisabetta ParentiCaterina MaccariIlaria GandolfiniEnrico FiaccadoriPublished in: Journal of nephrology (2018)
A 16-h SLED session, performed with either conventional dialysis machines or CRRT machines, allows effective metformin removal in patients with MALA and AKI. However, due to possible post-SLED rebound in serum metformin levels, one additional dialysis treatment is required the following day in the majority of patients.