|Home | About | Journals | Submit | Contact Us | Français|
In the inpatient setting, a high proportion of nephrology consultations are requested for patients in the Intensive Care Unit (ICU). These patients may have acute kidney injury (AKI) or may be critically ill and have end-stage renal disease (ESRD). Thus, nephrologists need to understand recent evidence-based advances in the field of critical care, as well as areas of ongoing controversy and investigation. In this article, we summarize the diagnosis and management of shock, as well as the management of sepsis, acute lung injury/acute respiratory distress syndrome (ALI/ARDS), and fulminant hepatic failure, all of which are associated with high mortality in the critical care setting. We discuss infectious complications of critical care, including ventilator associated pneumonia and catheter related infections. Supportive care, including nutrition, insulin therapy and anemia management are reviewed. Dialysis considerations in critically ill patients are discussed. Lastly, we review the management of several life-threatening intoxications, many of which require early recognition and consideration of dialysis.
Definition: Absolute hypotension (e.g. systolic blood pressure less than 90 mm Hg or mean arterial pressure less than 60 mm Hg) or relative hypotension (e.g. fall in systolic blood pressure of more than 40 mm Hg) resulting in inadequate end-organ perfusion1, 2
Acute onset (< 7 days) of
Target hemoglobin in critically ill patients
Role of erythropoietin therapy in critically ill patients
Dr Liu is supported by NIH/NCRR/OD UCSF-CTSI Grant Number KL2 RR024130
Financial Disclosure: None.
Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.