Critical Care Nephrology: Core Curriculum 2020

被引：86

作者：

Griffin, Benjamin R. ^{[1
]}

Liu, Kathleen D. ^{[2
,3
]}

Teixeira, J. Pedro ^{[4
,5
]}

机构：

[1] Univ Iowa, Dept Med, Div Nephrol, Iowa City, IA 52242 USA

[2] Univ Calif San Francisco, Dept Med, Div Nephrol, San Francisco, CA 94143 USA

[3] Univ Calif San Francisco, Dept Anesthesia, Div Crit Care Med, San Francisco, CA USA

[4] Univ New Mexico, Sch Med, Dept Med, Div Nephrol, Albuquerque, NM 87131 USA

[5] Univ New Mexico, Sch Med, Dept Med, Div Pulm Crit Care & Sleep Med, Albuquerque, NM 87131 USA

来源：

AMERICAN JOURNAL OF KIDNEY DISEASES | 2020年 / 75卷 / 03期

关键词：

abdominal compartment syndrome; Acute kidney injury (AKI); acute liver failure; acute respiratory distress syndrome (ARDS); cardiac surgery–associated AKI; continuous renal replacement therapy (CRRT); critical care nephrology; extracorporeal membrane oxygenation (ECMO); fluid overload; intensive care unit (ICU); intraabdominal hypertension; intravenous fluids; palliative care; respiratory failure; review; sepsis; shock;

D O I：

10.1053/j.ajkd.2019.10.010

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

The intensive care unit (ICU) is a common source of high-acuity nephrology consultations. Although advanced chronic kidney disease is associated with increased ICU mortality, the prognosis of acute kidney injury (AKI) requiring renal replacement therapy is far worse, with short-term mortality rates that often exceed 50%. As such, it is essential that practicing nephrologists be comfortable caring for critically ill patients. This Core Curriculum article emphasizes the developments of the last decade since the last Core Curriculum installment on this topic in 2009. We focus on some of the most common causes of AKI in the critical care setting and use these AKI causes to delve into specific topics most relevant to critical care nephrology, including acute respiratory distress syndrome, extracorporeal membrane oxygenation, evolving concepts in fluid management, and shock. We conclude by reviewing the basics of palliative care nephrology and dialysis decision making in the ICU.

引用

页码：435 / 452

页数：18