Whether creatinine 450μmol/L should be dialyzed or not needs to be combined with other clinical manifestations, and you can’t just look at the creatinine value to judge whether dialysis should be performed or not.
In case of acute renal failure with creatinine elevated to 450μmol/L, accompanied by severe infection, sepsis, multi-organ failure, etc., dialysis is usually needed. In addition acute renal failure with severe heart failure, hyperkalemia, metabolic acidosis, etc., when drugs can not be corrected, dialysis treatment is also needed.
In case of chronic renal failure, creatinine 450μmol/L, urine output is still good, there is no heart failure, obvious electrolyte disorder, acid-base imbalance and other complications, it can be corrected by conservative treatment firstly, without dialysis for the time being, and observe the condition closely, and then carry out dialysis treatment according to the specific situation if there is aggravation of the condition.
For patients with creatinine 450μmol/L, it is recommended to go to regular hospitals in time, and standardize the treatment under the guidance of doctors.