Acute Renal Failure in Critically Ill Patients<SUBTITLE>A Multinational, Multicenter Study</SUBTITLE>

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Acute renal failure in critically ill patients: a multinational, multicenter study.

CONTEXT Although acute renal failure (ARF) is believed to be common in the setting of critical illness and is associated with a high risk of death, little is known about its epidemiology and outcome or how these vary in different regions of the world. OBJECTIVES To determine the period prevalence of ARF in intensive care unit (ICU) patients in multiple countries; to characterize differences i...

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Acute renal failure in the critically ill.

PURPOSE OF REVIEW Acute renal failure occurs frequently in hospitalized patients and is associated with significant morbidity and mortality. An effort to better understand the epidemiology and pathophysiology of this disease will hopefully lead to improvement in patient outcomes. Considerable effort has been expended to develop techniques to prevent acute renal failure or to facilitate its reso...

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Insulin resistance in critically ill patients with acute renal failure.

Mortality in critically ill patients with acute renal failure (ARF) remains high. Hyperglycemia associated with insulin resistance has been associated with adverse outcomes in critically ill intensive care unit (ICU) patients but has not been examined specifically in patients with ARF. We used data from a subcohort (n = 90) of the Program to Improve Care in Acute Renal Disease (PICARD), an obse...

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Volume replacement in critically ill patients with acute renal failure.

Maintenance and restoration of intravascular volume are essential tasks of critical care management to achieve sufficient organ function and to avoid multiple organ failure in critically ill patients. Inadequate intravascular volume followed by impaired renal perfusion is the predominate cause of acute renal failure. Crystalloid solutions are the first choice to correct fluid and electrolyte de...

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IVC Measurements in Critically Ill Patients with Acute Renal Failure

OBJECTIVE To determine whether the inferior vena cava (IVC) measurement by bedside ultrasound (US-IVC) predicts improvement in renal function in patients with acute kidney injury (AKI). DESIGN Prospective observational study. SETTING Medical intensive care unit. PATIENTS 33 patients with AKI were included. INTERVENTION US-IVC was done on admission. The patients' management was done by t...

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ژورنال

عنوان ژورنال: JAMA

سال: 2005

ISSN: 0098-7484

DOI: 10.1001/jama.294.7.813