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AKI Ecography

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4 papers 0 to 25 followers
By Isabel Acosta-Ochoa Nephrology senior staff. Valladolid. Spain
Tobias Lahmer, Sebastian Rasch, Christopher Schnappauf, Roland M Schmid, Wolfgang Huber
PURPOSE: Impact of volume challenge (VC) on renal hemodynamics and renal function in patients with septic-induced acute kidney injury in addition to transpulmonary thermodilution (TPTD)-derived hemodynamic parameters. METHODS: Systemic hemodynamic parameters derived from TPTD, Doppler-based resistive index (RI) urine output, creatinine and urea levels were obtained before, after and 24 h after VC. RESULTS: Heart rate (p < 0.045), systolic blood pressure (p < 0...
August 2016: International Urology and Nephrology
Ivan K Ip, Patricia C Silveira, Emily C Alper, Carol B Benson, Ramin Khorasani
BACKGROUND: Per the American College of Radiology Appropriateness Criteria, renal ultrasound is the most appropriate imaging examination to evaluate patients with acute kidney injury. However, recent studies suggest that renal ultrasound may be more selectively performed, which could lead to reductions in the use of medical imaging. OBJECTIVE: Evaluate a published risk stratification prediction model (the Licurse model) for using renal ultrasound in hospitalized patients with acute kidney injury...
May 17, 2016: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
Hai Ying Zhou, Tian Wu Chen, Xiao Ming Zhang
Acute kidney injury (AKI) is a common complication of hospitalization that is characterized by a sudden loss of renal excretory function and associated with the subsequent development of chronic kidney disease, poor prognosis, and increased mortality. Although the pathophysiology of renal functional impairment in the setting of AKI remains poorly understood, previous studies have identified changes in renal hemodynamics, perfusion, and oxygenation as key factors in the development and progression of AKI. The early assessment of these changes remains a challenge...
2016: BioMed Research International
Maria Boddi, Manuela Bonizzoli, Marco Chiostri, Dario Begliomini, Adele Molinaro, Laura Tadini Buoninsegni, Gian Franco Gensini, Adriano Peris
BACKGROUND: The predictive role of Doppler Renal Resistive Index (RRI) for mortality was shown in chronic kidney disease. In selected populations of intensive care unit (ICU), RRI predicts acute kidney injury (AKI) occurrence and anticipates persistent AKI. No data are available about mortality. We investigated whether RRI assay at AKI diagnosis could predict AKI mortality in a 10-bed-mixed medical-surgical and trauma ICU of a tertiary referral teaching hospital. The association between RRI and persistent AKI at discharge was investigated...
March 2016: European Journal of Clinical Investigation
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