Improved Hemodynamic Tolerance of Intermittent Hemodialysis Sessions in Intensive Care Unite Using Citrate- vs Acetate-based Dialysate

Inclusion Criteria:

• Patient ≥ 18 years old

• Patient hospitalized in an intensive care unit

• Patient with acute renal failure defined by a KDIGO stage ≥ 1 and suspectednon-obstructive

• Patient at risk of per dialytic hypotension (capillary refill time ≥ 3 secondsand/or cardiovascular SOFA ≥ 1 and/or lactatemia > 2mmol/L)

• Indication for Extra Renal Replacement Therapy with IHD.

Exclusion Criteria:

• Pregnant or breastfeeding woman

• Known chronic renal insufficiency of any stage

• Cardio-renal and hepato renal syndrome

• Unstable hemodynamic state: refractory shock

• Patient included in another interventional study likely to modify the hemodynamicstate

• Patient deprived of liberty

• Patient under guardianship or curatorship

• Patient not affiliated to a social security system