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Acute Renal Failure

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Handbook of Evidence-Based Critical Care

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Abstract

Acute renal failure (ARF) is a common problem in the ICU. Even modest degrees of ARF not resulting in dialysis treatment increase the risk of death approximately fivefold.1 The mortality of patients who require dialysis has remained in excess of 50% despite improvements in renal replacement therapy and aggressive supportive care. It is therefore essential that all efforts be made to avoid this complication, i.e., aggressive (early) fluid resuscitation and avoidance of potentially nephrotoxic drugs (especially aminoglycosides and contrast media). The therapeutic intervention of choice in patients with oliguria is fluid resuscitation and not furosemide/Lasix™ (see Chapter 8).

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Authors and Affiliations

  1. Division of Pulmonary and Critical Care Medicine, Eastern Virginia Medical School, Norfolk, VA, USA

    Paul Ellis Marik MBBCh, FCP(SA), FRCP(C), FCCP, FCCM, FACP, MD

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  1. Paul Ellis Marik MBBCh, FCP(SA), FRCP(C), FCCP, FCCM, FACP, MD
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Correspondence to Paul Ellis Marik MBBCh, FCP(SA), FRCP(C), FCCP, FCCM, FACP, MD .

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Marik, P.E. (2010). Acute Renal Failure. In: Handbook of Evidence-Based Critical Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-5923-2_44

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  • DOI: https://doi.org/10.1007/978-1-4419-5923-2_44

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-5922-5

  • Online ISBN: 978-1-4419-5923-2

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