By Heleen M. Oudemans-van Straaten, Lui G. Forni, A.B. Johan Groeneveld, Sean M. Bagshaw, Michael Joannidis
This sensible advisor offers the reader with solutions to big clinically appropriate questions in regards to the assessment and administration of acute kidney damage (AKI). All elements of serious care nephrology are coated, from pathophysiology and prognosis to prevention and remedy. The questions thought of relate to a variety of concerns, reminiscent of: How do I diagnose AKI? How am i able to shield the kidney in medical perform? How do I deal with sufferers with AKI? while should still I begin and the way do I practice renal alternative treatment (RTT)? which sort of RTT is excellent for my sufferer? may still I supply particular meals? as well as delivering useful guidance and therapy algorithms, the ebook contains calculators for non-stop RRT and anticoagulant dosing. The authors are the world over popular specialists within the fields of extensive Care drugs and Nephrology and all contributions are written in a transparent and concise type and feature been peer reviewed. Acute Nephrology for the serious Care Physician will function a truly necessary resource for intensivist internists, anesthesiologists and nephrologists desirous about the administration and remedy of severely sick sufferers susceptible to or plagued by AKI.
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Extra resources for Acute Nephrology for the Critical Care Physician
Hoste EA, Clermont G, Kersten A, et al. RIFLE criteria for acute kidney injury are associated with hospital mortality in critically ill patients: a cohort analysis. Crit Care. 2006;10(3):R73. 7. Ostermann M, Chang RW. Acute kidney injury in the intensive care unit according to RIFLE. Crit Care Med. 2007;35(8):1837–43; quiz 52. 8. Cruz DN, Bolgan I, Perazella MA, et al. North East Italian Prospective Hospital Renal Outcome Survey on Acute Kidney Injury (NEiPHROS-AKI): targeting the problem with the RIFLE Criteria.
Vaara ST, Pettila V, Reinikainen M, Kaukonen KM, Finnish Intensive Care Consortium. Population-based incidence, mortality and quality of life in critically ill patients treated with renal replacement therapy: a nationwide retrospective cohort study in Finnish intensive care units. Crit Care. 2012;16(1):R13. 18. Sigurdsson MI, Vesteinsdottir IO, Sigvaldason K, Helgadottir S, Indridason OS, Sigurdsson GH. Acute kidney injury in intensive care units according to RIFLE classification: a populationbased study.
The highest risk was in individuals developing AKI on a background of pre-existing CKD. In all, one quarter of patients developing ESRD had a prior clinical episode of AKI. Similarly, in over 5,000 patients admitted to US Veterans Health Administration Hospitals without a prior diagnosis of CKD, a diagnostic coding for Acute Tubular Necrosis was associated with a significantly increase in the risk of later developing CKD stage 4 and 5 or death compared to controls without an AKI diagnosis .