Fluid management in acute kidney injury

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http://hdl.handle.net/10138/237046

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Perner , A , Prowle , J , Joannidis , M , Young , P , Hjortrup , P B & Pettilä , V 2017 , ' Fluid management in acute kidney injury ' , Intensive Care Medicine , vol. 43 , no. 6 , pp. 807-815 . https://doi.org/10.1007/s00134-017-4817-x

Titel: Fluid management in acute kidney injury
Författare: Perner, Anders; Prowle, John; Joannidis, Michael; Young, Paul; Hjortrup, Peter B.; Pettilä, Ville
Upphovmannens organisation: Clinicum
Anestesiologian yksikkö
Department of Diagnostics and Therapeutics
HUS Perioperative, Intensive Care and Pain Medicine
Datum: 2017-06
Språk: eng
Sidantal: 9
Tillhör serie: Intensive Care Medicine
ISSN: 0342-4642
DOI: https://doi.org/10.1007/s00134-017-4817-x
Permanenta länken (URI): http://hdl.handle.net/10138/237046
Abstrakt: Acute kidney injury (AKI) and fluids are closely linked through oliguria, which is a marker of the former and a trigger for administration of the latter. Recent progress in this field has challenged the physiological and clinical rational of using oliguria as a trigger for the administration of fluid and brought attention to the delicate balance between benefits and harms of different aspects of fluid management in critically ill patients, in particular those with AKI. This narrative review addresses various aspects of fluid management in AKI outlining physiological aspects, the effects of crystalloids and colloids on kidney function and the effect of various resuscitation and de-resuscitation strategies on the course and outcome of AKI.
Subject: Acute kidney injury
Critical Care
Fluid
Intravenous fluid
Kidney failure
Renal failure
Sepsis
Shock
CRITICALLY-ILL PATIENTS
RENAL REPLACEMENT THERAPY
PROSPECTIVE SEQUENTIAL-ANALYSIS
RESPIRATORY-DISTRESS-SYNDROME
INTENSIVE-CARE-UNIT
SEVERE SEPSIS
HYDROXYETHYL STARCH
BLOOD-FLOW
SEPTIC SHOCK
PROSPECTIVE MULTICENTER
3121 General medicine, internal medicine and other clinical medicine
Referentgranskad: Ja
Licens: unspecified
Användningsbegränsning: openAccess
Parallelpublicerad version: publishedVersion


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