Download PDF by C. Ronco, R. Bellomo, J.A. Kellum: Acute Kidney Injury (Contributions to Nephrology, 156)

By C. Ronco, R. Bellomo, J.A. Kellum

ISBN-10: 3318014567

ISBN-13: 9783318014563

ISBN-10: 3805582714

ISBN-13: 9783805582711

Acute kidney damage is outlined as an abrupt switch in serum creatinine and/or urine output, and a majority of sufferers admitted to the ICU have a few proof of the disease. regrettably, therapy for this advanced syndrome is as but missing and knowing is proscribed. An interdisciplinary panel of specialists has contributed to this quantity, illuminating many of the basic and intricate points of the ailment starting from pathophysiology to therapy, from rising biomarkers to genetic polymorphisms. different contributions specialize in immunological matters or the numerous issues of acute kidney damage and co-morbid stipulations encountered, overlaying the basics in addition to the most recent advancements. additionally, vital technical elements of extracorporeal cures together with vascular entry, anticoagulation or fluid composition are brought, and various methods to renal help from intermittent dialysis to non-stop treatments and hybrid thoughts are mentioned. an outline of complex extracorporeal concepts of organ aid and their function within the administration of sepsis and acute kidney harm within the context of an total technique of multi-organ failure administration concludes the discussions. This quantity not just presents a realistic and up to date precis of present wisdom and expertise, but additionally imparts a primary figuring out of the pathogenesis and certain destiny advancements during this box. It additionally serves to problem and reconsider the elemental underlying assumptions we carry concerning severe sickness typically and acute kidney harm specifically.

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Additional resources for Acute Kidney Injury (Contributions to Nephrology, 156)

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Kidney Int 2003;63:600–606. Kelly KJ: Distant effects of experimental renal ischemia/reperfusion injury. J Am Soc Nephrol 2003;14: 1549–1558. Himmelfarb J, McMonagle E, Freedman S, et al: Oxidative stress is increased in critically ill patients with acute renal failure. J Am Soc Nephrol 2004;15:2449–2456. Multz AS, Chalfin DB, Samson IM, et al: A ‘closed’ medical intensive care unit (MICU) improves resource utilization when compared with an ‘open’ MICU. Am J Respir Crit Care Med 1998;157: 1468–1473.

Ghorra S, Reinert SE, Cioffi W, et al: Analysis of the effect of conversion from open to closed surgical intensive care unit. Ann Surg 1999;229:163–171. Hanson CW, Deutschman CS, Anderson HL, et al: Effects of an organized critical care service on outcomes and resource utilization: a cohort study. Crit Care Med 1999;27:270–274. Baldock G, Foley P, Brett S: The impact of organisational change on outcome in an intensive care unit in the United Kingdom. Intensive Care Med 2001;27:865–872. Topeli A, Laghi F, Tobin MJ: Effect of closed unit policy and appointing an intensivist in a developing country.

Karger AG, Basel Introduction: Acute Renal Failure and Multiple Organ Failure Acute renal failure is a common complication in critically ill patients, affecting some 25% of intensive care unit (ICU) admissions, and is associated with high mortality rates of around 40–50% [1]. While isolated renal failure may occur, acute renal failure in the ICU frequently occurs as part of multiple organ failure (MOF), and is commonly associated with a septic etiology [1–3]. Indeed, patients with severe sepsis and septic shock are at an increased risk of developing acute renal failure and have higher mortality rates than patients without infection [1, 2, 4].

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Acute Kidney Injury (Contributions to Nephrology, 156) by C. Ronco, R. Bellomo, J.A. Kellum


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