- Section 1 ICU organization and management
- Section 2 Pharmacotherapeutics
- Section 3 Resuscitation
- Section 4 The respiratory system
- Section 5 The cardiovascular system
- Section 6 The gastrointestinal system
- Section 7 Nutrition
- Section 8 The renal system
- Part 8.1 Physiology
- Part 8.2 Renal monitoring and risk prediction
- Part 8.3 Oliguria and acute kidney injury
- Chapter 211 Pathophysiology of oliguria and acute kidney injury
- Chapter 212 Diagnosis of oliguria and acute kidney injury
- Chapter 213 Management of oliguria and acute kidney injury in the critically ill
- Part 8.4 Renal replacement techniques
- Part 8.5 Established renal failure
- Section 9 The neurological system
- Section 10 The metabolic and endocrine systems
- Section 11 The haematological system
- Section 12 The skin and connective tissue
- Section 13 Infection
- Section 14 Inflammation
- Section 15 Poisoning
- Section 16 Trauma
- Section 17 Physical disorders
- Section 18 Pain and sedation
- Section 19 General surgical and obstetric intensive care
- Section 20 Specialized intensive care
- Section 21 Recovery from critical illness
- Section 22 End-of-life care
(p. 1008) Management of oliguria and acute kidney injury in the critically ill
- Chapter:
- (p. 1008) Management of oliguria and acute kidney injury in the critically ill
- Author(s):
Mohammed Ahmed
and Sean M. Bagshaw
- DOI:
- 10.1093/med/9780199600830.003.0213
Acute kidney injury (AKI) remains a challenging clinical problem for clinicians caring for critically-ill patients due largely to the paucity of specific therapeutic interventions aimed at mitigating poor outcome. Those patients most at risk for the development of AKI can often be identified by an assessment of demographic, clinical, diagnostic, and procedure-related factors couple with early and intensive bedside monitoring. Importantly, critically-ill patients are often exposed to multiple discrete risks that can accumulate during their course that can negatively impact not only the duration and severity of AKI, but also probability of recovery, and long-term functional decline and risk of development of chronic kidney disease. All critically-ill patients at risk of or with milder forms of AKI should have support individualized. A clear understanding of the scope, complexity, and general principals of prevention and management of AKI are indispensable in the care of these patients and will discussed in this chapter.
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- Section 1 ICU organization and management
- Section 2 Pharmacotherapeutics
- Section 3 Resuscitation
- Section 4 The respiratory system
- Section 5 The cardiovascular system
- Section 6 The gastrointestinal system
- Section 7 Nutrition
- Section 8 The renal system
- Part 8.1 Physiology
- Part 8.2 Renal monitoring and risk prediction
- Part 8.3 Oliguria and acute kidney injury
- Chapter 211 Pathophysiology of oliguria and acute kidney injury
- Chapter 212 Diagnosis of oliguria and acute kidney injury
- Chapter 213 Management of oliguria and acute kidney injury in the critically ill
- Part 8.4 Renal replacement techniques
- Part 8.5 Established renal failure
- Section 9 The neurological system
- Section 10 The metabolic and endocrine systems
- Section 11 The haematological system
- Section 12 The skin and connective tissue
- Section 13 Infection
- Section 14 Inflammation
- Section 15 Poisoning
- Section 16 Trauma
- Section 17 Physical disorders
- Section 18 Pain and sedation
- Section 19 General surgical and obstetric intensive care
- Section 20 Specialized intensive care
- Section 21 Recovery from critical illness
- Section 22 End-of-life care