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Acute Kidney Injury

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Book cover Surgical Intensive Care Medicine

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Abstract

AKI is a common and increasingly encountered complication among hospitalized patients undergoing surgical procedures. The development of postoperative AKI is a devastating complication associated with increased risk for poor outcomes. Identification of those at greatest risk is critical. Clinical risk scores, electronic reporting systems, enhanced monitoring, and novel damage-specific biomarkers can aid in risk identification, early diagnosis, and implementation of bundled interventions aimed at mitigating the course of AKI. While a number of specific syndromes may have specific therapeutic interventions, the general strategies for prevention and management are similar for all patients at risk of or developing AKI: enhanced monitoring; early resuscitation to optimize hemodynamics and volume status; mitigate and avoid harmful nephrotoxins; and timely referral for renal replacement therapy (RRT) when necessary.

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Author information

Authors and Affiliations

  1. Faculty of Medicine and Dentistry, Department of Pediatrics and Critical Care Medicine, Department of Pediatrics, University of Alberta, 2-124E, Clinical Sciences Building, 8440-112 ST NW, Edmonton, AB, Canada, T6G 2B7

    Rashid Alobaidi MD

  2. Faculty of Medicine and Dentistry, Department of Critical Care Medicine, University of Alberta, 2-124E, Clinical Sciences Building, 8440-112 ST NW, Edmonton, AB, Canada, T6G 2B7

    Sean M. Bagshaw MD, MSc

Authors
  1. Rashid Alobaidi MD
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  2. Sean M. Bagshaw MD, MSc
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Corresponding author

Correspondence to Sean M. Bagshaw MD, MSc .

Editor information

Editors and Affiliations

  1. Department of Surgical Critical Care; Lahey Hospital and Medical Center, Division of Surgery, Burlington, Massachusetts, USA

    John M. O'Donnell

  2. Surgical Critical Care Medicine, Pr�-Card�o Hospital, Critical Care Medicine, University Hospital, Federal University of Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil

    Flávio E. Nácul

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© 2016 Springer International Publishing Switzerland

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Alobaidi, R., Bagshaw, S.M. (2016). Acute Kidney Injury. In: O'Donnell, J., Nácul, F. (eds) Surgical Intensive Care Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-19668-8_39

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  • DOI: https://doi.org/10.1007/978-3-319-19668-8_39

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-19667-1

  • Online ISBN: 978-3-319-19668-8

  • eBook Packages: MedicineMedicine (R0)

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