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Erschienen in:
05.09.2018 | Focus Editorial
Focus on acute kidney injury 2017
Erschienen in: Intensive Care Medicine | Ausgabe 11/2018
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The treatment and prevention of acute kidney injury (AKI) remains a major challenge to the intensive care physician. In June 2017, ICM dedicated a whole issue to this important clinical syndrome which remains associated with increased short- and long-term morbidity and mortality [1]. In the current editorial, we focus on recent papers handling the pathophysiology, prevention and supportive treatment of AKI during critical illness, highlighting publications from ICM in the last year (Table 1).
Table 1
Questions addressed by original trials related to AKI and published in ICM in 2017
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Question
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Answer
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|---|---|
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Does contrast administration for CT imaging increase the risk of AKI?
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|
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Can AKI be predicted with clinically available data?
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An AKI predictor using only clinically available data provides moderate prediction of AKI and outperforms NGAL on admission [5]
|
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Can application of a KDIGO care bundle reduce the incidence of AKI after cardiac surgery?
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|
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Does a chloride-rich fluid strategy increase the risk of AKI after cardiac surgery
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The change to post-operative peak creatinine after cardiac surgery does not differ between a chloride-rich and a chloride-limited fluid strategy [11]
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Are quality indicators of CRRT adequately defined?
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A systematic review shows quality indicators for CRRT are poorly defined and evaluated [14]
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