Prevention and treatment of acute renal failure in the severely burned patient
Acute renal failure is one of the most frequent and most feared complications in the severely burned patient. Mortality in such cases is over 60% and it is therefore of extreme importance to follow diagnostic protocols that make it possible to initiate all therapeutic measures as soon as possible in order to prevent the onset of renal failure. In our intensive-care unit we have long been using a computer program that monitors renal function. he software permits the calculation of all parameters and indices that are useful for the differential diagnosis of renal and prerenal failure, such as creatinine clearance, free water clearance (WCI), the sodium excretion fraction (NaEF), the renal failure index (RFI), serum and urine osmolarity and their relationships (Miller et al., 1978).
KeywordsAcute Renal Failure Acute Tubular Necrosis Urine Osmolarity Diagnostic Protocol Lipid System
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