Search Tag: acute kidney injury

ICU Management

Urine Output Monitoring and Early AKI Detection

2017 29 May

Urine output (UO) is a vital sign for critically ill patients but standards for monitoring and reporting vary widely between ICUs. New research indicates that intensive monitoring of UO was associated with increased detection of moderate to severe acute kidney injury (AKI), reduced incidence of fluid overload and is independently associated with reduced... Read more

ICU Management

The AKIpredictor: An Online Calculator to Predict Acute Kidney Injury

2017 16 Mar

Acute kidney injury (AKI), a rapid decline in renal function, is highly prevalent in critically ill patients, and is associated with an increased risk of short- and long-term complications that extend beyond the acute phase (Pickkers et al. 2017). AKI is defined and classified by an increase in serum creatinine or a decline in urine output, both late... Read more

ICU Management

Study: Kidney Damage Diagnosis May Be Inaccurate for Many

2017 28 Feb

Researchers from Columbia University Medical Center (CUMC) have found that, for many patients, an initial diagnosis of “acute kidney injury” may have been inaccurate. Their finding, published in Journal of the American Society of Nephrology, suggests that the current method of assessing kidney function may be misleading during the initial evaluation... Read more

ICU Management

Peritoneal Dialysis: Evidence, Guidelines, and Controversies

2017 14 Feb

Peritoneal dialysis (PD) may be a feasible, safe, and complementary alternative to haemodialysis not only in the chronic setting, but also in the acute setting, according to a review in the journal Seminars in Nephrology. PD provides an efficient way to correct metabolic, electrolyte, acid-base, and volume disturbances generated by acute kidney injury... Read more

ICU Management

Volume 16 - Issue 4, 2016

2016 30 Nov

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ICU Management

Study: Paediatric AKI Diagnosis Not Following Guidelines

2016 01 Nov

A survey of paediatric intensivists in the U.S. has found that around half are not using current guidelines to diagnose acute kidney injury (AKI) in critically ill children, and over 70 percent are using serum creatinine and urine output only. Only one-third refer children with AKI to a kidney specialist after they are discharged. The study is published... Read more

IMAGING Management

Study: Radiocontrast - AKI Risk Lower Than Previously Thought

2016 30 Sep

According to a study published in the Journal of the American Society of Nephrology, radiocontrast administration may have a lower risk of kidney damage than previously thought. The findings suggest that the potential benefits of radiocontrast-enhanced imaging are far greater than its hazards, which could have been overestimated by researchers and physicians.... Read more

ICU Management

Acute Kidney Injury Recommendations Published

2016 20 Jun

French intensive care and nephrology societies have published recommendations for AKI in the perioperative period and in intensive care units (ICUs). The document is published open access concurrently in Anaesthesia Critical Care & Pain Medicine and Annals of Intensive Care.The recommendations were developed by experts from the Société française d’anesthésie... Read more

ICU Management

Biomarkers for Acute Kidney Injury

2016 30 May

Where Are We Now?Acute kidney injury (AKI) has been recognised as a major public health problem. It affects >50% of patients in the Intensive Care Unit (ICU) and is associated with serious short- and long-term complications, premature death and high financial healthcare costs (Mehta et al. 2015; Hoste et al. 2015; Lewington et al. 2013). The consensus... Read more

ICU Management

Early Diagnosis and Prediction of Acute Kidney Injury

2016 30 May

penKid – A Dynamic Inflammation-Independent Biomarker Of Kidney (Dys)function Early recognition and close monitoring of acute kidney injury (AKI) is vital in the ICU, given AKI’s high prevalence and effect on length of stay and risk of re-hospitalisation and death (McCullough et al. 2013). As more becomes known about biomarkers, intensivists need to... Read more