Use of Dopaminergic Agonists for Renal Protection in the ICU

作者: P. T. Murray

DOI: 10.1007/978-1-4757-5548-0_61

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摘要: The mortality of acute renal failure is commonly 50–80% in the intensive care unit (ICU), and has not declined significantly since initial marked benefit dialysis therapy, despite numerous advances replacement technologies critical over several decades. Most ICU patients caused by either prerenal azotemia (reversible insufficiency due to hypoperfusion) or tubular necrosis (ATN). ATN results from a variety ischemic nephrotoxic insults, often additive synergistic combination. Because hypoperfusion plays role pathogenesis ATN, ‘lowdose’ dopamine used as vasodilator aiming prevent treat ICU. This chapter reviews use novel dopaminergic agonist called fenoldopam for protection

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