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Prevention and treatment of acute renal failure in the severely burned patient

  • C. Manni
  • A. Arcangeli

Abstract

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).

Keywords

Acute Renal Failure Acute Tubular Necrosis Urine Osmolarity Diagnostic Protocol Lipid System 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Bibliography

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  2. Kunin, C. M, Chesney, R. W., Craig, W. A., England, A. C. and De Angelis, C. (1978). Enzymuria as a marker of renal injury and disease: studies of N-acetyl-β-d-glucosaminidase (NAG) in the general population and in patients with renal disease. Pediatrics, 62, 751PubMedGoogle Scholar
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  4. Miller, T. R., Anderson, R. J. and Linas, S. L. (1978). Urinary diagnostic indices in acute renal failure. A prospective study. Ann. Intern. Med., 89, 47PubMedGoogle Scholar

Copyright information

© Kluwer Academic Publishers 1992

Authors and Affiliations

  • C. Manni
    • 2
  • A. Arcangeli
    • 1
  1. 1.Istituto di Anestesiologia e RianimazioneUniversità Cattolica del Sacro CuoreRomeItaly
  2. 2.European Centre for Disaster MedicineItaly

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