Acute kidney injury in the intensive care unit.
Acute kidney injury (AKI) is common among critically ill patients and results in increased mortality in this population. This review focuses on the diagnosis and management of AKI. The authors first explore new aspects of diagnosis, including new criteria that take into account even modest changes in renal function, and the development of novel biomarkers to allow earlier identification and better differential diagnosis of AKI. The authors also explore the available data on choice of dialysis modality and dialysis dose for the treatment of AKI, as well as the breakthrough development of the bioartificial kidney. Last, the authors review co-interventions that may have relevance to prognosis of AKI, such as intensive insulin therapy and the use of erythropoietin.
Crowley
Susan T
ST
Section of Nephrology, Yale University School of Medicine, New Haven, CT, USA. susan.crowley@va.gov
Peixoto
Aldo J
AJ
D058186:Acute Kidney Injury / Q000145:classification / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D002986:Clinical Trials as Topic; D003422:Critical Care / Q000379:methods*; D006801:Humans; D007362:Intensive Care Units; D017582:Renal Replacement Therapy / Q000379:methods*; D012307:Risk Factors