Reducing Mortality in Acute Kidney Injury
Reducing Mortality in Acute Kidney Injury

Author: Giovanni Landoni

Publisher: Springer

Published: 2016-07-15

Total Pages: 201

ISBN-13: 3319334298

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This book describes the techniques, strategies, and drugs that have been demonstrated by at least one paper published in a peer-reviewed journal to significantly influence survival in patients with or at risk for acute kidney injury. Each chapter focuses on a specific intervention. The scope is accordingly wide, with coverage of topics as diverse as the type, timing, and dose of renal replacement therapy (RRT), anticoagulation and specific indications for RRT, perioperative hemodynamic optimization, fluid balance, diuretics, colloids, fenoldopam, terlipressin, N-acetylcysteine, and vasopressin. A variety of settings are considered, including critically ill patients, cardiac surgery, and hepatic and hematologic disorders. The topic selection was made using a democracy-based approach in which hundreds of specialists from dozens of countries expressed, via the web, whether they agreed with these topics and whether they used the techniques in their daily clinical practice. The clear text is supported by "how to do" sections and "key point" boxes that provide easily accessible practical information. The book will be of interest for a wide variety of specialists, including intensivists, nephrologists, emergency doctors, and anesthesiologists.

Diagnostics, Risk Factors, Treatment and Outcomes of Acute Kidney Injury in a New Paradigm
Diagnostics, Risk Factors, Treatment and Outcomes of Acute Kidney Injury in a New Paradigm

Author: Wisit Cheungpasitporn

Publisher: MDPI

Published: 2020-12-10

Total Pages: 574

ISBN-13: 3039360868

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Acute kidney injury (AKI) is a frequent clinical syndrome among hospitalized patients, independently associated with both short- and long-term mortality. Previous investigations attempted to identify effective interventions to prevent AKI or promote kidney function recovery in patients with AKI. Most were unsuccessful. Hence, additional studies are required in the field of AKI research. In this Special Issue, we are making a call to action to stimulate researchers and clinicians to submit their studies on AKI conducted in nephrology, internal medicine, critical care, and other disciplines that will provide additional knowledge and skills in the field of AKI research, ultimately to improve patient outcomes.

Perioperative Kidney Injury
Perioperative Kidney Injury

Author: Charuhas V. Thakar

Publisher: Springer

Published: 2014-10-21

Total Pages: 257

ISBN-13: 1493912739

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The kidneys participate in all vital processes of the body to maintain overall homeostasis and health. When kidneys are injured during surgical interventions, metabolic and hemodynamic control is disrupted, leading to dysfunction associated with greater mortality, length of hospital stay and cost. Peri-operative Kidney Injury presents the epidemiology, risk factors, diagnosis, treatment and outcomes associated with kidney injury during the peri-operative period. Concepts and principles of care to prevent kidney complications during surgical procedures are provided to equip health care professionals along with strategies to manage acute kidney injury and associated challenges when they occur. Chapters detail diverse surgical settings, ranging from the more common, such as abdominal, cardiac and vascular surgeries, to the intricately complex, including the use of the left ventricular assist device and organ transplants. This practical and comprehensive text blends the evidence-based standards of care with cutting edge advances in the field, while also providing the reader with a peek into innovations on the horizon.

Continuous Renal Replacement Therapy
Continuous Renal Replacement Therapy

Author: John A. Kellum

Publisher: Oxford University Press

Published: 2016

Total Pages: 329

ISBN-13: 019022553X

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Continuous Renal Replacement Therapy provides concise, evidence-based, bedside guidance for the management of critically ill patients with acute renal failure, offering quick reference answers to clinicians' questions about treatments and situations encountered in daily practice.

Improving Follow-up Care for Post Hospitalized Patients Diagnosed with Acute Kidney Injury
Improving Follow-up Care for Post Hospitalized Patients Diagnosed with Acute Kidney Injury

Author: Sandra S. Gaiser

Publisher:

Published: 2017

Total Pages: 120

ISBN-13:

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Survivors of acute kidney injury (AKI) are at risk for short and long-term complications, as a result of small acute changes in renal function. Complications include progression of renal disease, cardiovascular (CV) changes, hospital readmissions, and death. These complications may impact the patient's health and quality of life; it is also a financial burden on the healthcare system. Current guidelines recommend outpatient nephrology follow up less than 90 days. The purpose of this practice improvement project is to determine if the frequency of follow-up care slows the progression of chronic kidney disease (CKD), reduces readmissions, prevents CV disease, and reduces mortality rates. A one-year evaluation was completed of 107 hospitalized patients with an initial diagnosis of AKI, using a retrospective, correlational, quantitative research design to collect data. Independent variables were the number of days to initial outpatient nephrology follow-up and frequency of follow-up appointments. Data were analyzed using one-way ANOVA, correlational tests, and frequency analysis. The significant findings revealed patients following up in less than 30 days after discharge were less like to be rehospitalized than those patients that had an initial follow-up greater than 30 days (p= .059) or not all (p= .023). Additionally, it was noted that more frequent follow up visits delayed the time to first readmission (p= .029).

Controversies in Acute Kidney Injury
Controversies in Acute Kidney Injury

Author: John A. Kellum

Publisher: Karger Medical and Scientific Publishers

Published: 2011

Total Pages: 267

ISBN-13: 3805598106

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A timely update Acute kidney injury (AKI) is a serious and as yet incompletely understood disorder in which sudden impairment of kidney function occurs secondary to one or more of a variety of underlying conditions. This disorder is very common in (elderly) ICU patients and is associated with very high mortality. Many of those who survive suffer from permanent kidney failure and other long-term morbidities, which may include cardiovascular disease and immune dysfunction. Epidemiologic evidence suggests that AKI is not a single disease, but a syndrome comprised of multiple, often coexisting, etiologies. Being usually part of multiorgan failure syndrome, it calls for multiple organ support therapy. The publication at hand contains sections on prerenal azotemia syndromes, dying of' or with' AKI, pathophysiology of sepsis- induced acute kidney injury, developments in prevention / treatment / rehabilitation, and renal support. Reporting the latest recommendations from experts, it provides valuable information for those that are interested in understanding the disorder and its treatment options.

Cardiopulmonary Bypass
Cardiopulmonary Bypass

Author: Sunit Ghosh

Publisher: Cambridge University Press

Published: 2015-11-26

Total Pages: 271

ISBN-13: 1107428254

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A complete clinically orientated guide to cardiopulmonary bypass and extracorporeal support for trainee medical and technical personnel in cardiac surgery.

Management of Acute Kidney Problems
Management of Acute Kidney Problems

Author: Achim Jörres

Publisher: Springer Science & Business Media

Published: 2010-03-11

Total Pages: 668

ISBN-13: 3540694412

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Acute kidney failure is an important clinical area in the intensive care unit setting. An estimated 5–20% of critically ill patients experience an episode of acute kidney failure during the course of their illness, and about 5% of patients admitted to an ICU will eventually require renal replacement therapy. In these patients, in-hospital mortality is extremely high, exceeding 50%. Thus, the early detection and causal treatment of acute kidney problems is vitally important for a successful outcome. Written by internationally renowned experts, this clinical reference offers helpful advice with the most recent information on the definition, epidemiology, pathophysiology, and clinical causes of acute kidney failure as a fundamental prerequisite for prevention of this disorder. Moreover, it also covers differential diagnostic approaches for patients with acute renal failure and provides a detailed outline of important measures for their clinical management. Finally, separate chapters are dedicated to various key aspects related to the adequate delivery of acute renal replacement therapy. It is intended as a helpful guide for all clinicians involved in the care of patients at risk of developing acute kidney problems.

Oxford Textbook of Clinical Nephrology
Oxford Textbook of Clinical Nephrology

Author: Neil N. Turner

Publisher: Oxford University Press

Published: 2015-10-29

Total Pages: 3045

ISBN-13: 0191017655

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This fourth edition of the Oxford Textbook of Clinical Nephrology builds on the success and international reputation of the publication as an important resource for the practising clinician in the field. It provides practical, scholarly, and evidence-based coverage of the full spectrum of clinical nephrology, written by a global faculty of experts. The most relevant and important reference to clinical nephrology, this is an authoritative and comprehensive textbook combining the clinical aspects of renal disease essential to daily clinical practice with extensive information about the underlying basic science and current evidence available. Each section of the textbook has been critically and comprehensively edited under the auspices of a leading expert in the field. This new edition has been significantly expanded and reapportioned to reflect developments and new approaches to topics, and includes treatment algorithms to aid and enhance patient care where possible. The fourth edition offers increased focus on the medical aspects of transplantation, HIV-associated renal disease, and infection and renal disease, alongside entirely new sections on genetic topics and clinical and physiological aspects of fluid/electrolyte and tubular disorders. The emphasis throughout is on marrying advances in scientific research with clinical management. Richly illustrated throughout in full colour, this is a truly modern and attractive edition which reinforces the Oxford Textbook of Clinical Nephrology's position as an indispensable reference work of consistent quality and reliability. Enriched and refined by careful revision, this new edition continues the tradition of excellence. This print edition of The Oxford Textbook of Clinical Nephrology comes with a year's access to the online version on Oxford Medicine Online. By activating your unique access code, you can read and annotate the full text online, follow links from the references to primary research materials, and view, enlarge and download all the figures and tables. Oxford Medicine Online is mobile optimized for access when and where you need it.

Nephrology and Public Health Worldwide
Nephrology and Public Health Worldwide

Author: G.B. Silva Junior

Publisher: Karger Medical and Scientific Publishers

Published: 2021-11-02

Total Pages: 369

ISBN-13: 331806937X

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Nephrology is one of the fastest growing specialties in medicine. Nevertheless, kidney disease is one of the most serious unmet health needs in many countries. To provide healthcare access with the desirable equity worldwide, the nephrology community needs to discuss this public health issue and take part in decisions for elaboration of public health policies with more justice and equity. This book brings together key current public health problems that affect kidney function and illuminates them in contributions by an international group of nephrologists and general practitioners. The chapters review current knowledge and provide guidelines to manage these conditions and decrease the disease burden. At the end, developments in the digital era and their application to kidney disease treatment are synthesized, and a broader outlook on the future of nephrology is given. Ultimately, the publication aims to gather nephrology and public health expertise from researchers from all over the world, providing a broad vision of issues that must be discussed and overcome to guarantee a better treatment for patients with kidney diseases in the world today.