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Diagnostic work-up and specific causes of acute kidney injury

Darmon, M., Ostermann, M., Cerda, J., Dimopoulos, M.A., Forni, Lui, Hoste, E., Legrand, M., Lerolle, N., Rondeau, E., Schneider, A. , Souweine, B. and Schetz, M. (2017) Diagnostic work-up and specific causes of acute kidney injury Intensive Care Medicine, 43 (6). pp. 829-840.

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Acute kidney injury (AKI) is common in critically ill patients and associated with grim short- and long-term outcome. Although in the vast majority of cases AKI is multifactorial, with sepsis, shock and nephrotoxicity accounting for most episodes, specific causes of AKI are not uncommon. Despite remaining uncertainties regarding their prevalence in the ICU, prompt recognition of specific aetiologies of AKI is likely to ensure timely management, limit worsening of renal dysfunction, and ultimately limit renal and systemic consequences of AKI. The ability to recognize conditions that may be associated with specific aetiologies and the appropriate use of clinical imaging, biological and immunological tests, along with optimal assessment of the need for renal biopsies, should be part of routine ICU care. In this review, we summarize uncertainties, current knowledge and recent advances regarding specific types of AKI. We describe the most common specific causes as well as rare aetiologies requiring urgent management, and outline available tools that may be used during the diagnostic work-up along with their limitations.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Biosciences and Medicine
Authors :
Darmon, M.
Ostermann, M.
Cerda, J.
Dimopoulos, M.A.
Hoste, E.
Legrand, M.
Lerolle, N.
Rondeau, E.
Schneider, A.
Souweine, B.
Schetz, M.
Date : June 2017
DOI : 10.1007/s00134-017-4799-8
Copyright Disclaimer : © 2017 Springer-Verlag Berlin Heidelberg and ESICM
Uncontrolled Keywords : Acute kidney injury; Diagnostic techniques and procedures; Glomerular filtration rate; Kidney function tests; Biops; Intensive care unit
Depositing User : Diane Maxfield
Date Deposited : 24 Oct 2019 11:45
Last Modified : 24 Oct 2019 11:45

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