Ebook Acute nephrology for the critical care physician: Part 2
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: Ebook Acute nephrology for the critical care physician: Part 2
Ebook Acute nephrology for the critical care physician: Part 2
Part IIIPrevention and ProtectionPrevention of AKI and Protection of the KidneyMichael Joannidis and Lui G. Forni11.1IntroductionAcute kidney injury ( Ebook Acute nephrology for the critical care physician: Part 2(AKI) poses a significant risk to patients resulting in an increase in both mortality and morbidity. As discussed in previous chapters, the major causes of AKI in the ICU include renal hypoperfusion, sepsis and septic shock, heart failure and direct nephrotoxicity although in most cases the aetiolog Ebook Acute nephrology for the critical care physician: Part 2y is multifactorial with a combination of events leading to AKI. Major risk factors have been identified which predispose to the development of AKI (TEbook Acute nephrology for the critical care physician: Part 2
able 11.1). Given the poor outcomes of patients with AKI it is of the highest priority for physicians treating critically ill patients. Given that to-Part IIIPrevention and ProtectionPrevention of AKI and Protection of the KidneyMichael Joannidis and Lui G. Forni11.1IntroductionAcute kidney injury ( Ebook Acute nephrology for the critical care physician: Part 2ajor issues:1Ensuring adequate renal perfusion2Modulation of renal physiology3Avoiding further, additional renal insultM. Joannidis. MD (0)Division of Intensive Care and Emergency Medicine.Department of Internal Medicine. Medical University Innsbruck.Innsbruck A-6020. Austriae-mail: michael.jounnidi Ebook Acute nephrology for the critical care physician: Part 2s@'i-med.ac.atL.G. ForniDepartment of Intensive Care Medicine. Royal Surrey County HospitalNH.S Foundation Trust, Surrey Perioperative Anaesthesia CriEbook Acute nephrology for the critical care physician: Part 2
tical Care CollaborativeResearch Group (SPACeR) and Faculty of Health Care Sciences.University of Surrey. Guildford. UKe-mail: luifomi@nhs.net© SpringPart IIIPrevention and ProtectionPrevention of AKI and Protection of the KidneyMichael Joannidis and Lui G. Forni11.1IntroductionAcute kidney injury ( Ebook Acute nephrology for the critical care physician: Part 22M. Joannidis and L.G. ForniTable 11.1 Major risk factors for AKIPatient factorsAdvanced Age Female Black RacePre-existing co-morbiditiesChronic Kidney Disease (CKD) Liver Disease Respiratory Disease Heart Failure Diabetes: Especially with proteinuria CancerCurrent susceptibilitiesVolume Depletion D Ebook Acute nephrology for the critical care physician: Part 2ehydration HypoalbuminemiaExposuresCritical Illness Sepsis Circulatory Shock BurnsSurgeryCardiac Surgery (especially with CPB) TraumaDrugsNephrotoxicEbook Acute nephrology for the critical care physician: Part 2
Agents RadiocontrastAdapted front KDIGO11.2Ensuring Adequate Kidney PerfusionAccording to large cohort studies hypovolemia, sepsis and heart failure hPart IIIPrevention and ProtectionPrevention of AKI and Protection of the KidneyMichael Joannidis and Lui G. Forni11.1IntroductionAcute kidney injury ( Ebook Acute nephrology for the critical care physician: Part 2ll as a trigger for this syndrome. However, the practicalities of how to provide optimal renal perfusion are far from straightforward but are best achieved by a systematic approach with the main targets being:(a)Optimizing systemic haemodynamics Ebook Acute nephrology for the critical care physician: Part 2Part IIIPrevention and ProtectionPrevention of AKI and Protection of the KidneyMichael Joannidis and Lui G. Forni11.1IntroductionAcute kidney injury (Gọi ngay
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