Euvolemia-A critical target in the management of acute kidney injury

作者: Gates B. Colbert , Harold M. Szerlip

DOI: 10.1111/SDI.12753

关键词: Disease management (health)Acute kidney injuryMedicineIntravascular volume statusCurrent (fluid)Intensive care medicineRisk assessmentPatient safetyResuscitationSepsisNephrology

摘要: It has been clearly established that critically ill patients with sepsis require prompt fluid resuscitation. The optimal amount of and when to taper this resuscitation is less clear. There a growing evidence overload leads acute kidney injury, increased morbidity mortality. A clinician's best intentions in resuscitating patient can lead too much good thing. Currently, there are several bedside tools aid determining patient's response challenge as well the assessment current volume status. Guidelines not available on exact rate removal what medicinal or mechanical modality most favorable. We discuss our experience an examination literature problems overload, how may benefit from forced removal.

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