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

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 suspected non-obstructive Patient at risk of per dialytic hypotension (capillary refill time ≥ 3 seconds and/or cardiovascular SOFA ≥ 1 and/or lactatemia > 2) 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 hemodynamic state Patient deprived of liberty Patient under guardianship or curatorship Patient not affiliated to a social security system