Renal Literature Summaries
Renal Literature Summaries
Category Renal Medicine
Renal replacement therapy: Dose
Optimal dose of renal replacement therapy (RRT) is controversial... the definition of dose in clinical practice is also a little controversial!
Acute Kidney Injury
AKI is the entire spectrum of disease (mild -> severe), and can be defined as an abrupt (1 to 7 days) and sustained (more than 24 hours) decrease in kidney function. Mortality of critically patients with acute renal failure is high (50%–60%)
Renal Disease Biomarkers
Acute kidney injury (AKI) is a common problem in the critically ill associated with increased morbidity and mortality
Renal Transplant Patient
Renal Transplant; commonest transplant; anastamosed to common iliac artery and vein in the pelvis. the ureter is plumbed into the bladder; allows ease of access for palpation and biopsy
RIFLE Criteria and AKIN Classification
AKI can be defined as an abrupt (1 to 7 days) and sustained (more than 24 hours) decrease in kidney function. The ADQI formulated the RIFLE criteria in 2004 to allow for AKI to be objectively and uniformly defined.
Renal replacement therapy: Fluid Management
Renal replacement therapy: Fluid Management
End-Stage Renal Failure
End-stage renal failure has multiple implications for ICU management
Haemoperfusion
Haemoperfusion: Renal replacement therapy (RRT) using an adsorbent cartridge to remove circulating toxins
Hepatorenal Syndrome
Hepatorenal Syndrome = profound oliguria and Na+ retention in the setting of severe liver dysfunction (cirrhosis or fulminant liver failure); usually fatal unless liver transplant performed. RRT can prevent advancement of condition
Renal replacement therapy: Troubleshooting
Renal replacement therapy (RRT): Troubleshooting
Urosepsis
Urosepsis is a severe infection, distinguishing it from other urinary tract infections including mild pyelonephritis and accounts for ~5% of severe sepsis; whereas UTIs account for ~40% of nosocomial infections