Fluid management in acute kidney injury

被引：0
作者：
Anders Perner
John Prowle
Michael Joannidis
Paul Young
Peter B. Hjortrup
Ville Pettilä
机构：
[1] University of Copenhagen,Department of Intensive Care, Rigshospitalet
[2] Queen Mary University of London,Adult Critical Care Unit, The Royal London Hospital, Barts Health NHS Trust, William Harvey Research Institute
[3] Medical University Innsbruck,Division of Intensive Care and Emergency Medicine
[4] Wellington Hospital,Intensive Care Unit, Medical Research Institute of New Zealand
[5] University of Helsinki and Helsinki University Hospital,Division of Intensive Care Medicine, Department of Anesthesiology, Intensive Care and Pain Medicine
来源：
Intensive Care Medicine | 2017年 / 43卷
关键词：
Acute kidney injury; Critical Care; Fluid; Intravenous fluid; Kidney failure; Renal failure; Sepsis; Shock;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
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.
引用
收藏
页码：807 / 815
页数：8
相关论文
共 229 条
[51]  
Nijssen EC(2014)Early goal-directed therapy in the treatment of severe sepsis and septic shock Intensive Care Med 42 1695-763
[52]  
Rennenberg RJ(2016)Understanding acute kidney injury in sepsis Clin J Am Soc Nephrol 370 1683-745.e12
[53]  
Nelemans PJ(2013)Peripheral edema, central venous pressure, and risk of AKI in critical illness Crit Care Resusc 17 R14-214
[54]  
Legrand M(2016)Fluid balance does not predict estimated sodium balance in critically ill mechanically ventilated patients J Crit Care 16 R197-1315
[55]  
Le Cam B(2016)Defining the characteristics and expectations of fluid bolus therapy: a worldwide perspective Intensive Care Med 113 764-295
[56]  
Perbet S(2016)Restricting volumes of resuscitation fluid in adults with septic shock after initial management: the CLASSIC randomised, parallel-group, multicentre feasibility trial Intensive Care Med 10 37-256
[57]  
Zafrani L(2014)Conservative fluid management or deresuscitation for patients with sepsis or acute respiratory distress syndrome following the resuscitation phase of critical illness: a systematic review and meta-analysis N Engl J Med 333 420-undefined
[58]  
Ergin B(2013)A randomized trial of protocol-based care for early septic shock Crit Care 288 2547-undefined
[59]  
Kapucu A(2012)Fluid balance and urine volume are independent predictors of mortality in acute kidney injury Crit Care 32 1669-undefined
[60]  
Ince C(2014)Fluid overload is associated with an increased risk for 90-day mortality in critically ill patients with renal replacement therapy: data from the prospective FINNAKI study Br J Anaesth 113 756-undefined
12345678910