ACUTE KIDNEY INJURY DURING CRITICAL ILLNESS – A GLOBAL CHALLENGE
https://doi.org/10.21292/2078-5658-2019-16-2-83-95
Abstract
The report is devoted to the problem of acute kidney injury (AKI) in critically ill patients. Currently, the clinical definition of AKI is based on the assessment of increasing serum creatinine, but this method has a number of significant drawbacks. Perhaps the use of biomarkers for early detection of renal injury will improve diagnostic results. Up to date, no specific drug therapy for AKI has no available. The therapeutic tactics are based on the assessment of the risk of development AKI in critically ill patient, hemodynamic optimization, revision of drug therapy to exclude nephrotoxic drugs and the use of renal replacement therapy (RRT). Despite the numerous studies and the presence of multiple researches of AKI, there are many unclear issues related, for example, how to choose tactics of infusion therapy, the use of vasopressor support in patients with AKI, the time of the beginning and the choice of the mode of RRT, the feasibility of combining several technologies of extracorporeal hemocorrection. It is important to define how to improve the short-term prognosis and the long-term consequences of renal dysfunction.
About the Author
M. Ostermann
King’s College London Guy’s and St Thomas’ Foundation Hospital, Department of Critical Care & Nephrology
Russian Federation
Russian Federation
London SE1 7EH, United Kingdom
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Review
For citations:
Ostermann M. ACUTE KIDNEY INJURY DURING CRITICAL ILLNESS – A GLOBAL CHALLENGE. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2019;16(2):83-95. (In Russ.) https://doi.org/10.21292/2078-5658-2019-16-2-83-95
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