schliessen

Filtern

 

Bibliotheken

Prevention of acute kidney injury and protection of renal function in the intensive care unit

Byline: Michael Joannidis (1), Wilfred Druml (2), Lui G. Forni (3), A. B. Johan Groeneveld (4), Patrick Honore (5), Heleen M. Oudemans-van Straaten (6), Claudio Ronco (7), Marie R. C. Schetz (8), Arend Jan Woittiez (9) Keywords: Acute kidney injury; Systematic review; Recommendations; Position paper... Full description

Journal Title: Intensive Care Medicine 2010, Vol.36(3), pp.392-411
Main Author: Joannidis, Michael
Other Authors: Druml, Wilfred , Forni, Lui , Groeneveld, A. , Honore, Patrick , Oudemans-van Straaten, Heleen , Ronco, Claudio , Schetz, Marie , Woittiez, Arend
Format: Electronic Article Electronic Article
Language: English
Subjects:
APC
ID: ISSN: 0342-4642 ; E-ISSN: 1432-1238 ; DOI: 10.1007/s00134-009-1678-y
Link: http://dx.doi.org/10.1007/s00134-009-1678-y
Zum Text:
SendSend as email Add to Book BagAdd to Book Bag
Staff View
recordid: springer_jour10.1007/s00134-009-1678-y
title: Prevention of acute kidney injury and protection of renal function in the intensive care unit
format: Article
creator:
  • Joannidis, Michael
  • Druml, Wilfred
  • Forni, Lui
  • Groeneveld, A.
  • Honore, Patrick
  • Oudemans-van Straaten, Heleen
  • Ronco, Claudio
  • Schetz, Marie
  • Woittiez, Arend
subjects:
  • Acute kidney injury
  • Systematic review
  • Recommendations
  • Position paper
  • Prevention
  • Volume expansion
  • Vasopressors
  • Vasodilators
  • Diuretics
  • Hormones
  • APC
  • Renal replacement therapy
ispartof: Intensive Care Medicine, 2010, Vol.36(3), pp.392-411
description: Byline: Michael Joannidis (1), Wilfred Druml (2), Lui G. Forni (3), A. B. Johan Groeneveld (4), Patrick Honore (5), Heleen M. Oudemans-van Straaten (6), Claudio Ronco (7), Marie R. C. Schetz (8), Arend Jan Woittiez (9) Keywords: Acute kidney injury; Systematic review; Recommendations; Position paper; Prevention; Volume expansion; Vasopressors; Vasodilators; Diuretics; Hormones; APC; Renal replacement therapy Abstract: Background Acute renal failure on the intensive care unit is associated with significant mortality and morbidity. Objectives To determine recommendations for the prevention of acute kidney injury (AKI), focusing on the role of potential preventative maneuvers including volume expansion, diuretics, use of inotropes, vasopressors/vasodilators, hormonal interventions, nutrition, and extracorporeal techniques. Method A systematic search of the literature was performed for studies using these potential protective agents in adult patients at risk for acute renal failure/kidney injury between 1966 and 2009. The following clinical conditions were considered: major surgery, critical illness, sepsis, shock, and use of potentially nephrotoxic drugs and radiocontrast media. Where possible the following endpoints were extracted: creatinine clearance, glomerular filtration rate, increase in serum creatinine, urine output, and markers of tubular injury. Clinical endpoints included the need for renal replacement therapy, length of stay, and mortality. Studies are graded according to the international Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) group system Conclusions and recommendations Several measures are recommended, though none carries grade 1A. We recommend prompt resuscitation of the circulation with special attention to providing adequate hydration whilst avoiding high-molecular-weight hydroxy-ethyl starch (HES) preparations, maintaining adequate blood pressure using vasopressors in vasodilatory shock. We suggest using vasopressors in vasodilatory hypotension, specific vasodilators under strict hemodynamic control, sodium bicarbonate for emergency procedures administering contrast media, and periprocedural hemofiltration in severe chronic renal insufficiency undergoing coronary intervention. Author Affiliation: (1) Medical Intensive Care Unit, Department of Internal Medicine I, Medical University Innsbruck, Anichstasse, 31, 6020, Innsbruck, Austria (2) Department of Internal Medicine III, University Hospital Vienna, Vien
language: eng
source:
identifier: ISSN: 0342-4642 ; E-ISSN: 1432-1238 ; DOI: 10.1007/s00134-009-1678-y
fulltext: fulltext
issn:
  • 1432-1238
  • 14321238
  • 0342-4642
  • 03424642
url: Link


@attributes
ID1660136257
RANK0.07
NO1
SEARCH_ENGINEprimo_central_multiple_fe
SEARCH_ENGINE_TYPEPrimo Central Search Engine
LOCALfalse
PrimoNMBib
record
control
sourcerecordid10.1007/s00134-009-1678-y
sourceidspringer_jour
recordidTN_springer_jour10.1007/s00134-009-1678-y
sourcesystemPC
pqid746303135
galeid218662444
display
typearticle
titlePrevention of acute kidney injury and protection of renal function in the intensive care unit
creatorJoannidis, Michael ; Druml, Wilfred ; Forni, Lui ; Groeneveld, A. ; Honore, Patrick ; Oudemans-van Straaten, Heleen ; Ronco, Claudio ; Schetz, Marie ; Woittiez, Arend
ispartofIntensive Care Medicine, 2010, Vol.36(3), pp.392-411
identifier
subjectAcute kidney injury ; Systematic review ; Recommendations ; Position paper ; Prevention ; Volume expansion ; Vasopressors ; Vasodilators ; Diuretics ; Hormones ; APC ; Renal replacement therapy
languageeng
source
descriptionByline: Michael Joannidis (1), Wilfred Druml (2), Lui G. Forni (3), A. B. Johan Groeneveld (4), Patrick Honore (5), Heleen M. Oudemans-van Straaten (6), Claudio Ronco (7), Marie R. C. Schetz (8), Arend Jan Woittiez (9) Keywords: Acute kidney injury; Systematic review; Recommendations; Position paper; Prevention; Volume expansion; Vasopressors; Vasodilators; Diuretics; Hormones; APC; Renal replacement therapy Abstract: Background Acute renal failure on the intensive care unit is associated with significant mortality and morbidity. Objectives To determine recommendations for the prevention of acute kidney injury (AKI), focusing on the role of potential preventative maneuvers including volume expansion, diuretics, use of inotropes, vasopressors/vasodilators, hormonal interventions, nutrition, and extracorporeal techniques. Method A systematic search of the literature was performed for studies using these potential protective agents in adult patients at risk for acute renal failure/kidney injury between 1966 and 2009. The following clinical conditions were considered: major surgery, critical illness, sepsis, shock, and use of potentially nephrotoxic drugs and radiocontrast media. Where possible the following endpoints were extracted: creatinine clearance, glomerular filtration rate, increase in serum creatinine, urine output, and markers of tubular injury. Clinical endpoints included the need for renal replacement therapy, length of stay, and mortality. Studies are graded according to the international Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) group system Conclusions and recommendations Several measures are recommended, though none carries grade 1A. We recommend prompt resuscitation of the circulation with special attention to providing adequate hydration whilst avoiding high-molecular-weight hydroxy-ethyl starch (HES) preparations, maintaining adequate blood pressure using vasopressors in vasodilatory shock. We suggest using vasopressors in vasodilatory hypotension, specific vasodilators under strict hemodynamic control, sodium bicarbonate for emergency procedures administering contrast media, and periprocedural hemofiltration in severe chronic renal insufficiency undergoing coronary intervention. Author Affiliation: (1) Medical Intensive Care Unit, Department of Internal Medicine I, Medical University Innsbruck, Anichstasse, 31, 6020, Innsbruck, Austria (2) Department of Internal Medicine III, University Hospital Vienna, Vienna, Austria (3) Western Sussex Hospitals Trust, Brighton and Sussex Medical School, University of Sussex , Brighton, UK (4) Department of Intensive Care, VU Medical Center, Amsterdam, The Netherlands (5) Department of Intensive Care, Burn Center, Queen Astrid Military Hospital, Neder-Over-Heembeek (Brussels), Belgium (6) Department of Intensive Care Medicine, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands (7) Department of Nephrology Dialysis and Transplantation, San Bortolo Hospital, Viale Rodolfi 37, Vicenza, Italy (8) Department of Intensive Care Medicine, University Hospital, Catholic University Leuven, Leuven, Belgium (9) Division of Nephrology, Department of Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands Article History: Registration Date: 25/09/2009 Received Date: 30/11/2008 Accepted Date: 13/08/2009 Online Date: 17/11/2009 Article note: This article is discussed in the editorial available at: doi: 10.1007/s00134-009-1683-1. Electronic supplementary material The online version of this article (doi: 10.1007/s00134-009-1678-y) contains supplementary material, which is available to authorized users.
version11
lds50peer_reviewed
links
openurl$$Topenurl_article
openurlfulltext$$Topenurlfull_article
backlink$$Uhttp://dx.doi.org/10.1007/s00134-009-1678-y$$EView_full_text_in_Springer_(Subscribers_only)
search
creatorcontrib
0Joannidis, Michael, G.
1Druml, Wilfred, B.
2Forni, Lui, M.
3Groeneveld, A., R.
4Honore, Patrick, Jan
5Oudemans-van Straaten, Heleen, Jan
6Ronco, Claudio, Jan
7Schetz, Marie, Jan
8Woittiez, Arend, Jan
titlePrevention of acute kidney injury and protection of renal function in the intensive care unit
subject
0Acute kidney injury
1Systematic review
2Recommendations
3Position paper
4Prevention
5Volume expansion
6Vasopressors
7Vasodilators
8Diuretics
9Hormones
10APC
11Renal replacement therapy
general
010.1007/s00134-009-1678-y
1English
2Springer Science & Business Media B.V.
3SpringerLink
sourceidspringer_jour
recordidspringer_jour10.1007/s00134-009-1678-y
issn
01432-1238
114321238
20342-4642
303424642
rsrctypearticle
creationdate2010
addtitle
0Intensive Care Medicine
1Intensive Care Med
searchscopespringer_journals_complete
scopespringer_journals_complete
lsr30VSR-Enriched:[pages, description, pqid, galeid]
sort
titlePrevention of acute kidney injury and protection of renal function in the intensive care unit
authorJoannidis, Michael ; Druml, Wilfred ; Forni, Lui ; Groeneveld, A. ; Honore, Patrick ; Oudemans-van Straaten, Heleen ; Ronco, Claudio ; Schetz, Marie ; Woittiez, Arend
creationdate20100300
facets
frbrgroupid8366254809363712227
frbrtype5
languageeng
creationdate2010
topic
0Acute Kidney Injury
1Systematic Review
2Recommendations
3Position Paper
4Prevention
5Volume Expansion
6Vasopressors
7Vasodilators
8Diuretics
9Hormones
10Apc
11Renal Replacement Therapy
collectionSpringerLink
prefilterarticles
rsrctypearticles
creatorcontrib
0Joannidis, Michael
1Druml, Wilfred
2Forni, Lui
3Groeneveld, A.
4Honore, Patrick
5Oudemans-van Straaten, Heleen
6Ronco, Claudio
7Schetz, Marie
8Woittiez, Arend
jtitleIntensive Care Medicine
toplevelpeer_reviewed
delivery
delcategoryRemote Search Resource
fulltextfulltext
addata
aulast
0Joannidis
1Druml
2Forni
3Groeneveld
4Honore
5Oudemans-van Straaten
6Ronco
7Schetz
8Woittiez
aufirst
0Michael
1Wilfred
2Lui
3G.
4A.
5B.
6Johan
7Patrick
8Heleen
9M.
10Claudio
11Marie
12R.
13C.
14Arend
15Jan
au
0Joannidis, Michael
1Druml, Wilfred
2Forni, Lui
3Groeneveld, A.
4Honore, Patrick
5Oudemans-van Straaten, Heleen
6Ronco, Claudio
7Schetz, Marie
8Woittiez, Arend
atitlePrevention of acute kidney injury and protection of renal function in the intensive care unit
jtitleIntensive Care Medicine
stitleIntensive Care Med
risdate201003
volume36
issue3
spage392
epage411
issn0342-4642
eissn1432-1238
genrearticle
ristypeJOUR
copBerlin/Heidelberg
pubSpringer-Verlag
doi10.1007/s00134-009-1678-y
pages392-411
date2010-03