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Year in review 2008: Critical Care - nephrology

机译:年度回顾2008:重症监护-肾脏病

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摘要

We summarize original research in the field of critical care nephrology accepted or published during 2008 in Critical Care and, when considered relevant or directly linked to this research, in other journals. Three main topics have been identified for a rapid overview. (1) The classification of acute kidney injury, with particular attention to differences and similarities between the RIFLE and AKIN classifications. (2) Fluid balance in patients requiring renal replacement therapy (RRT) has been shown as an independent risk factor for mortality in critically ill patients: current evidence and uncertainties are described. (3) Management of anticoagulation during RRT has been explored by several researchers in 2008: diagnosis of heparin-induced thrombocytopenia, the use of tirofiban and optimal anticoagulation during drotrecogin A activated treatment have been evaluated.
机译:我们总结了重症监护肾脏病学领域的原始研究成果,这些研究在2008年期间在《重症监护》中接受或发表,并在被认为与此项研究相关或直接关联时,在其他期刊中发表。已确定了三个主要主题以进行快速概述。 (1)急性肾损伤的分类,尤其要注意RIFLE和AKIN分类之间的差异和相似性。 (2)已证明需要肾脏替代疗法(RRT)的患者的体液平衡是重症患者死亡的独立危险因素:目前的证据和不确定性已有描述。 (3)RRT期间抗凝的管理方法已在2008年由几位研究人员进行了探索:已评估了肝素诱发的血小板减少症的诊断,替罗非班的使用以及drotrecogin A活化治疗期间的最佳抗凝作用。

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