Improving the "urinary side" of acute kidney injury monitoring

[...]it is important to emphasize that consequences are always preceded by causes and, in the case of AKI, the causes can be summarized by the incapacity of the kidneys to excrete properly (urea, potassium, acids, sodium, water, etc.). [...]it is intuitive that the early recognition of both AKI deve...

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Bibliographic Details
Published in:Critical care (London, England) England), 2016-06, Vol.20 (1), p.154-154, Article 154
Main Authors: Maciel, Alexandre Toledo, Vitorio, Daniel
Format: Article
Language:English
Subjects:
Acute Kidney Injury - diagnosis
Acute Kidney Injury - therapy
Acute renal failure
Care and treatment
Creatinine - analysis
Creatinine - urine
Critical care
Critically ill
Diuresis
Electrolytes - analysis
Electrolytes - urine
Health aspects
Humans
Kidneys
Letter
Urine
Weaning
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Summary:[...]it is important to emphasize that consequences are always preceded by causes and, in the case of AKI, the causes can be summarized by the incapacity of the kidneys to excrete properly (urea, potassium, acids, sodium, water, etc.). [...]it is intuitive that the early recognition of both AKI development and recovery must focus on urinary excretion rates (the "urinary side"), not on secondary changes in blood. In their sample, a significant number of patients with theoretically adequate urine output were not able to be weaned from RRT, demonstrating that diuresis improvement is probably a true sign of recovery only when it is followed by an increased capacity to excrete waste products.
ISSN:1364-8535
1466-609X
1364-8535
1366-609X
DOI:10.1186/s13054-016-1332-3