Fluids for prevention and management of acute kidney injury

被引：25

作者：

Kellum, J. A. ^{[1
]}

Cerda, J. ^{[2
]}

Kaplan, L. J. ^{[3
]}

Nadim, M. K. ^{[4
]}

Palevsky, P. M. ^{[5
]}

机构：

[1] Univ Pittsburgh, Dept Crit Care Med, Sch Med, Pittsburgh, PA 15261 USA

[2] Albany Med Coll & Capital Dist Renal Physicians, Div Nephrol, Albany, NY USA

[3] Yale Univ, Sch Med, Dept Surg, Sect Trauma Surg Crit Care & Surg Emergencies, New Haven, CT 06510 USA

[4] Univ So Calif, Keck Sch Med, Dept Med, Div Nephrol, Los Angeles, CA 90033 USA

[5] VA Pittsburgh Healthcare Syst, Univ Dr Div, Pittsburgh, PA USA

来源：

INTERNATIONAL JOURNAL OF ARTIFICIAL ORGANS | 2008年 / 31卷 / 02期

关键词：

acute kidney injury; fluids; colloids; crystalloids; starch; renal replacement therapy; dialysis; hemofiltration;

D O I：

10.1177/039139880803100204

中图分类号：

R318 [生物医学工程];

学科分类号：

0831 ;

摘要：

Fluids are the only known method of attenuating renal injury. Furthermore, whether for hydration, resuscitation or renal replacement therapy, fluid prescriptions must be tailored to the fluid and electrolyte, cardiovascular status and residual renal function of the patient. Different fluids have significantly different effects both on volume expansion as well as on the electrolyte and acid-base balance; while controversial, different fluids may even influence renal function differently. This systematic review focuses on fluids for prevention and management of acute kidney injury. We have reviewed the available evidence and have made recommendations for clinical practice and future studies.

引用

页码：96 / 110

页数：15

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