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AKI prevention&management in sepsis

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By Muhammad Masood Professor of Medicine Allamanda Iqbal Medical College/Jinnah Hospital Lahore Pakistan
https://www.readbyqxmd.com/read/26690796/prevention-and-treatment-of-sepsis-induced-acute-kidney-injury-an-update
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Patrick M Honore, Rita Jacobs, Inne Hendrickx, Sean M Bagshaw, Olivier Joannes-Boyau, Willem Boer, Elisabeth De Waele, Viola Van Gorp, Herbert D Spapen
Sepsis-induced acute kidney injury (SAKI) remains an important challenge in critical care medicine. We reviewed current available evidence on prevention and treatment of SAKI with focus on some recent advances and developments. Prevention of SAKI starts with early and ample fluid resuscitation preferentially with crystalloid solutions. Balanced crystalloids have no proven superior benefit. Renal function can be evaluated by measuring lactate clearance rate, renal Doppler, or central venous oxygenation monitoring...
December 2015: Annals of Intensive Care
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