Kidney Replacement Therapy for Fluid Management
| Autor: | Raghavan Murugan, Vikram Balakumar |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Critical Illness Ultrafiltration Hemodynamics Fluid management Critical Care and Intensive Care Medicine Article law.invention 03 medical and health sciences 0302 clinical medicine Kidney Replacement Therapy Randomized controlled trial law Internal medicine medicine Humans Renal replacement therapy Kilogram business.industry Acute kidney injury 030208 emergency & critical care medicine General Medicine Acute Kidney Injury Water-Electrolyte Balance medicine.disease Renal Replacement Therapy 030228 respiratory system Cardiology Fluid Therapy business |
| Zdroj: | Crit Care Clin |
| ISSN: | 1557-8232 |
| Popis: | Emerging evidence from observational studies suggests that both slower and faster net ultrafiltration rates during kidney replacement therapy are associated with increased mortality in critically ill patients with acute kidney injury and fluid overload. Faster rates are associated with ischemic organ injury. The net ultrafiltration rate should be prescribed based on patient body weight in milliliters per kilogram per hour, with close monitoring of patient hemodynamics and fluid balance. Randomized trials are required to examine whether moderate net ultrafiltration rates compared with slower and faster rates are associated with reduced risk of hemodynamic instability, organ injury, and improved outcomes. |
| Databáze: | OpenAIRE |
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