Management of Acute Kidney Injury/Renal Replacement Therapy in the Intensive Care Unit

被引:21
作者
Shaikhouni, Salma [1 ]
Yessayan, Lenar [1 ]
机构
[1] Univ Michigan, Dept Med, Div Nephrol, Ann Arbor, MI 48109 USA
关键词
Acute kidney injury; CRRT; Hemodialysis; Citrate anticoagulation; CONTINUOUS RENAL-REPLACEMENT; CRITICALLY-ILL PATIENTS; CONTINUOUS VENOVENOUS HEMOFILTRATION; BLOOD-STREAM INFECTION; HEPARIN ANTICOAGULATION; BALANCED CRYSTALLOIDS; REGIONAL CITRATE; VENOUS CATHETERS; RISK; FAILURE;
D O I
10.1016/j.suc.2021.09.013
中图分类号
R61 [外科手术学];
学科分类号
摘要
AKI is a common complication among patients in the ICU. It is strongly associated with poor patient outcomes. Future study efforts should focus on measures to prevent AKI and develop tools for its early diagnosis. This would allow more prompt intervention to prevent worsening renal injury and improve outcomes. Observational studies and clinical trial data have provided some evidence-based guidance to best practices of care of patients with or at risk of AKI. However, many questions remain unanswered. We provide a summary of these studies as well as clinical practice recommendations that are guided by the conclusions of these studies.
引用
收藏
页码:181 / 198
页数:18
相关论文
共 86 条
[1]   Continuous versus intermittent renal replacement therapy for critically ill patients with acute kidney injury: A meta-analysis [J].
Bagshaw, Sean M. ;
Berthiaume, Luc R. ;
Delaney, Anthony ;
Bellomo, Rinaldo .
CRITICAL CARE MEDICINE, 2008, 36 (02) :610-617
[2]   Timing of Initiation of Renal-Replacement Therapy in Acute Kidney Injury [J].
Bagshaw, Sean M. ;
Wald, Ron ;
Adhikari, Neill K. J. ;
Bellomo, Rinaldo ;
da Costa, Bruno R. ;
Dreyfuss, Didier ;
Gallagher, Martin P. ;
Gaudry, Stephane ;
Hoste, Eric A. ;
Lamontagne, Francois ;
Joannidis, Michael ;
Landoni, Giovanni ;
Liu, Kathleen D. ;
McAuley, Daniel F. ;
McGuinness, Shay P. ;
Neyra, Javier A. ;
Nichol, Alistair D. ;
Ostermann, Marlies ;
Palevsky, Paul M. ;
Pettila, Ville ;
Quenot, Jean-Pierre ;
Qiu, Haibo ;
Rochwerg, Bram ;
Schneider, Antoine G. ;
Smith, Orla M. ;
Thome, Fernando ;
Thorpe, Kevin E. ;
Vaara, Suvi ;
Weir, Matthew ;
Wang, Amanda Y. ;
Young, Paul ;
Zarbock, Alexander .
NEW ENGLAND JOURNAL OF MEDICINE, 2020, 383 (03) :240-251
[3]   Citrate versus heparin anticoagulation for continuous renal replacement therapy: an updated meta-analysis of RCTs [J].
Bai, Ming ;
Zhou, Meilan ;
He, Lijie ;
Ma, Feng ;
Li, Yangping ;
Yu, Yan ;
Wang, Pengbo ;
Li, Li ;
Jing, Rui ;
Zhao, Lijuan ;
Sun, Shiren .
INTENSIVE CARE MEDICINE, 2015, 41 (12) :2098-2110
[4]  
Barbar SD, 2018, NEW ENGL J MED, V379, P1431, DOI [10.1056/nejmoa1803213, 10.1056/NEJMoa1803213]
[5]   What is the real impact of acute kidney injury? [J].
Bedford, Michael ;
Stevens, Paul E. ;
Wheeler, Toby W. K. ;
Farmer, Christopher K. T. .
BMC NEPHROLOGY, 2014, 15
[6]   Acute renal failure - definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group [J].
Bellomo, R ;
Ronco, C ;
Kellum, JA ;
Mehta, RL ;
Palevsky, P .
CRITICAL CARE, 2004, 8 (04) :R204-R212
[7]  
Bellomo R, 2009, NEW ENGL J MED, V361, P1627, DOI 10.1056/NEJMoa0902413
[8]   Copper, selenium, zinc, and thiamine balances during continuous venovenous hemodiafiltration in critically ill patients [J].
Berger, MM ;
Shenkin, A ;
Revelly, JP ;
Roberts, E ;
Cayeux, MC ;
Baines, M ;
Chioléro, RL .
AMERICAN JOURNAL OF CLINICAL NUTRITION, 2004, 80 (02) :410-416
[9]  
Betjes MGH, 2007, J NEPHROL, V20, P602
[10]   Incidence, Clinical Predictors, Genomics, and Outcome of Acute Kidney Injury Among Trauma Patients [J].
Bihorac, Azra ;
Delano, Matthew J. ;
Schold, Jesse D. ;
Lopez, Maria Cecilia ;
Nathens, Avery B. ;
Maier, Ronald V. ;
Layon, Abraham Joseph ;
Baker, Henry V. ;
Moldawer, Lyle L. .
ANNALS OF SURGERY, 2010, 252 (01) :158-165