title: [Acute renal failure].
abstract: Acute renal failure is defined as a multifactorial syndrome that occurs--depending of definition and selection of patients--in 2%-25% of all ICU patients. Most frequent in surgery (approximately 70%), ARF is caused by septic complications. Renal replacement therapy is managed today by dialysis, hemofiltration or the combination of both. Lethality of ARF ranges from 50% to 80%. High lethality rates are not related to ARF itself, but to uncontrolled septic MOF. The consequences for surgical ICU patients are: First of all, protective measures are mandatory. If ARF occurs, septic complications have to be considered. Renal replacement therapy has to be integrated into the management of septic MOF.
authors.affiliation: Chirurgische Klinik und Poliklinik, Klinikum rechts der Isar, München.
authors.forename: H
authors.initials: H
authors.lastname: Bartels
mesh_terms: D058186:Acute Kidney Injury / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D003422:Critical Care; D005858:Germany; D006801:Humans; D010348:Patient Care Team; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D017410:Practice Guidelines as Topic; D011785:Quality Assurance, Health Care; D017582:Renal Replacement Therapy
vernacular_title: Akutes Nierenversagen (ANV).