Renal failure
-
Review Meta Analysis
Timing of initiation of renal replacement therapy in acute kidney injury: a systematic review and meta-analysis.
The aim of the study is to summarize the effects of timing of initiation of renal replacement therapy (RRT) on mortality. ⋯ "Early" CRRT and "early" IHD both could reduce the mortality of patients with acute kidney injury compared with "late" CRRT or IHD.
-
Review Case Reports
Early use of hemodialysis for active rewarming in severe hypothermia: a case report and review of literature.
Deep accidental hypothermia (body temperature below 28°C) is rare. Even with modern supportive care of active external and internal rewarming techniques it is associated with a high mortality rate. We report the early and successful use of hemodialysis (HD) for active rewarming of a middle-aged alcoholic man with severe deep accidental hypothermia after failure of initial efforts of rewarming using conventional strategies. This case report and review of the literature highlights the advantages and the challenges of using HD in this setting and suggests a potential role for HD in the routine management of severe hypothermia in the absence of circulatory arrest.
-
Multicenter Study Comparative Study
Epidemiology of postoperative acute kidney injury in Hungarian intensive care units: an exploratory analysis.
The aim of this study was to evaluate the incidence and outcome of postoperative acute kidney injury (AKI) after major noncardiac surgery in Hungarian intensive care units (ICUs). ⋯ The results of this study confirm that there is a high incidence of AKI following major noncardiac surgery, which is associated with higher ICU and in-hospital mortality.
-
Randomized Controlled Trial
Prevention of intradialytic hypotension in patients with acute kidney injury submitted to sustained low-efficiency dialysis.
This study evaluated the effects of a protocol aiming to reduce hypotension in acute kidney injury (AKI) patients submitted to sustained low-efficiency dialysis (SLED). ⋯ SLED protocol with modulation of dialysate temperature, sodium, and UF profiling showed similar efficacy but less intradialytic hypotension when compared with a standard SLED prescription.
-
Comparative Study
Combination of renal biomarkers predicts acute kidney injury in critically ill adults.
Most studies so far have focused on the performance of individual biomarkers to detect early acute kidney injury (AKI) in the adult intensive care unit (ICU) patients; however, they have not determined the predictive ability of their combinations. The aim of this study was to compare the predictive abilities of plasma neutrophil gelatinase-associated lipocalin (pNGAL), urine neutrophil gelatinase-associated lipocalin (uNGAL), plasma cystatin C (pCysC), serum creatinine (sCr), and their combinations in detecting AKI in an adult general ICU population. ⋯ The biomarker combinations had better predictive characteristics compared with those of each biomarker alone.