The dialysis debate: acute renal failure in burns patients.

Acute renal failure is an uncommon occurrence in burns patients, although the mortality of this condition remains high. We review briefly the literature on the incidence and management of acute renal failure in burns patients. We discuss the results of a questionnaire sent to all units in the UK examining this problem. Our findings suggest that acute renal failure is usually part of a complex multiorgan failure. However, an aggressive approach in the management of these patients can result in a significant improvement in prognosis, in the absence of a greater understanding of prevention of the condition. We have suggested measures that could be taken to aid the care of burns patients with renal failure.