Care of the Critically Ill Emergency Department Patient with Acute Kidney Injury
Introduction. Acute Kidney Injury (AKI) is common and associated with significant mortality and complications. Exact data on the epidemiology of AKI in the Emergency Department (ED) are sparse. This review aims to summarise the key principles for managing AKI patients in the ED. Principal Findings....
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2012/760623 |
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| _version_ | 1832564333951844352 |
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| author | Jennifer Joslin Marlies Ostermann |
| author_facet | Jennifer Joslin Marlies Ostermann |
| author_sort | Jennifer Joslin |
| collection | DOAJ |
| description | Introduction. Acute Kidney Injury (AKI) is common and associated with significant mortality and complications. Exact data on the epidemiology of AKI in the Emergency Department (ED) are sparse. This review aims to summarise the key principles for managing AKI patients in the ED. Principal Findings. Timely resuscitation, goal-directed correction of fluid depletion and hypotension, and appropriate management of the underlying illness are essential in preventing or limiting AKI. There is no specific curative therapy for AKI. Key principles of secondary prevention are identification of patients with early AKI, discontinuation of nephrotoxic medication where possible, attention to fluid resuscitation, and awareness of the risks of contrast-induced nephropathy. In patients with advanced AKI, arrangements for renal replacement therapy need to be made before the onset of life-threatening uraemic complications. Conclusions. Research and guidelines regarding AKI in the ED are lacking and AKI practice from critical care departments should be adopted. |
| format | Article |
| id | doaj-art-6a8499758a554fc2af0f4552b8f249fa |
| institution | Kabale University |
| issn | 2090-2840 2090-2859 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj-art-6a8499758a554fc2af0f4552b8f249fa2025-02-03T01:11:18ZengWileyEmergency Medicine International2090-28402090-28592012-01-01201210.1155/2012/760623760623Care of the Critically Ill Emergency Department Patient with Acute Kidney InjuryJennifer Joslin0Marlies Ostermann1Department of Critical Care, King’s Health Partners, Guy’s & St Thomas’ Foundation Trust, King’s College London, London SE1 7EH, UKDepartment of Critical Care, King’s Health Partners, Guy’s & St Thomas’ Foundation Trust, King’s College London, London SE1 7EH, UKIntroduction. Acute Kidney Injury (AKI) is common and associated with significant mortality and complications. Exact data on the epidemiology of AKI in the Emergency Department (ED) are sparse. This review aims to summarise the key principles for managing AKI patients in the ED. Principal Findings. Timely resuscitation, goal-directed correction of fluid depletion and hypotension, and appropriate management of the underlying illness are essential in preventing or limiting AKI. There is no specific curative therapy for AKI. Key principles of secondary prevention are identification of patients with early AKI, discontinuation of nephrotoxic medication where possible, attention to fluid resuscitation, and awareness of the risks of contrast-induced nephropathy. In patients with advanced AKI, arrangements for renal replacement therapy need to be made before the onset of life-threatening uraemic complications. Conclusions. Research and guidelines regarding AKI in the ED are lacking and AKI practice from critical care departments should be adopted.http://dx.doi.org/10.1155/2012/760623 |
| spellingShingle | Jennifer Joslin Marlies Ostermann Care of the Critically Ill Emergency Department Patient with Acute Kidney Injury Emergency Medicine International |
| title | Care of the Critically Ill Emergency Department Patient with Acute Kidney Injury |
| title_full | Care of the Critically Ill Emergency Department Patient with Acute Kidney Injury |
| title_fullStr | Care of the Critically Ill Emergency Department Patient with Acute Kidney Injury |
| title_full_unstemmed | Care of the Critically Ill Emergency Department Patient with Acute Kidney Injury |
| title_short | Care of the Critically Ill Emergency Department Patient with Acute Kidney Injury |
| title_sort | care of the critically ill emergency department patient with acute kidney injury |
| url | http://dx.doi.org/10.1155/2012/760623 |
| work_keys_str_mv | AT jenniferjoslin careofthecriticallyillemergencydepartmentpatientwithacutekidneyinjury AT marliesostermann careofthecriticallyillemergencydepartmentpatientwithacutekidneyinjury |