Fluids for prevention and management of acute kidney injury.
Fluids are the only known method of attenuating renal injury. Furthermore, whether for hydration, resuscitation or renal replacement therapy, fluid prescriptions must be tailored to the fluid and electrolyte, cardiovascular status and residual renal function of the patient. Different fluids have significantly different effects both on volume expansion as well as on the electrolyte and acid-base balance; while controversial, different fluids may even influence renal function differently. This systematic review focuses on fluids for prevention and management of acute kidney injury. We have reviewed the available evidence and have made recommendations for clinical practice and future studies.
Kellum
J A
JA
Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15261, USA. kellumja@ccm.upmc.edu
Cerda
J
J
Kaplan
L J
LJ
Nadim
M K
MK
Palevsky
P M
PM
D058186:Acute Kidney Injury / Q000517:prevention & control / Q000628:therapy*; D000818:Animals; D001639:Bicarbonates / Q000627:therapeutic use; D003102:Colloids / Q000627:therapeutic use; D005440:Fluid Therapy; D006440:Hemofiltration; D006454:Hemoglobins / Q000627:therapeutic use; D006801:Humans; D008353:Mannitol / Q000627:therapeutic use; D016032:Randomized Controlled Trials as Topic; D006435:Renal Dialysis / Q000379:methods*; D012206:Rhabdomyolysis; D012462:Saline Solution, Hypertonic; D014883:Water-Electrolyte Imbalance / Q000175:diagnosis / Q000628:therapy
D001639:Bicarbonates; D003102:Colloids; D006454:Hemoglobins; D012462:Saline Solution, Hypertonic; D008353:Mannitol