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.
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页码：807 / 815
页数：8
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