title: When to correct coagulopathy in acute kidney injury?
abstract: Incidence of acute kidney injury (AKI) in adult trauma patients is 18% with 70% requiring renal replacement therapy. It is a challenge to treat AKI with coagulopathy since there are no defined transfusion triggers for these patients. We report a case wherein a polytrauma patient developed AKI for which he/she was dialysed and subsequently had an intracerebral bleed. There is a need to develop guidelines to transfusion triggers in AKI patients keeping vigilance on fluid overload, hyperkalemia and uraemia-induced platelet dysfunction.
authors.affiliation: Department of Anaesthesia, All India Institute of Medical Sciences, Jai Prakash Narayan Apex Trauma Centre, New Delhi, India.
authors.forename: Manpreet
authors.initials: M
authors.lastname: Kaur
authors.affiliation: Department of Anaesthesia, All India Institute of Medical Sciences, Jai Prakash Narayan Apex Trauma Centre, New Delhi, India.
authors.forename: Babita
authors.initials: B
authors.lastname: Gupta
authors.affiliation: Department of Anaesthesia, All India Institute of Medical Sciences, Jai Prakash Narayan Apex Trauma Centre, New Delhi, India.
authors.forename: Nita
authors.initials: N
authors.lastname: D'souza
authors.affiliation: Department of Anaesthesia, All India Institute of Medical Sciences, Jai Prakash Narayan Apex Trauma Centre, New Delhi, India.
authors.forename: Seema
authors.initials: S
authors.lastname: Shende
keywords: Acute kidney injury; acute kidney injury; transfusion triggers in acute kidney injury