Archive for the ‘Critical Care’ Category

November 22, 2009

Intensity of Continuous Renal-Replacement Therapy in Critically Ill Patients

RENAL Replacement Therapy Study Investigators, Bellomo R, Cass A, Cole L, Finfer S, Gallagher M, Lo S, McArthur C, McGuinness S, Myburgh J, Norton R, Scheinkestel C, Su S.   N Engl J Med.   2009 Oct 22;361(17):1627-38

This multicenter, randomized trial compared the effect of CRRT, delivered at two different levels of intensity (40 ml/kg vs 25 ml/kg), on 90-day mortality among critically ill patients with acute kidney injury. Treatment with higher-intensity continuous renal-replacement therapy did not reduce mortality at 90 days.
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No Comments Posted in Acute Renal Failure, Critical Care
October 18, 2009

Chronic Dialysis and Death Among Survivors of Acute Kidney Injury Requiring Dialysis

Wald R, Quinn RR, Luo J, Li P, Scales DC, Mamdani MM, Ray JG, University of Toronto Acute Kidney Injury Research Group.   JAMA.   2009 Sep 16;302(11):1179-85

The purpose of this Canadian population-based cohort study was to assess the risk of chronic dialysis and all-cause mortality in individuals who experienced an episode of acute kidney injury requiring dialysis.   The authors concluded that acute kidney injury necessitating in-hospital dialysis was associated with an increased risk of chronic dialysis but not all-cause mortality.
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No Comments Posted in Acute Renal Failure, Critical Care, Hemodialysis
August 21, 2009

Does perioperative hemodynamic optimization protect renal function in surgical patients? A meta-analytic study.

Brienza N, Giglio MT, Marucci M, Fiore T.   Crit Care Med.   2009 Jun;37(6):2079-90

This meta-analysis sought to address the question of whether perioperative hemodynamic optimization could reduce postoperative renal dysfunction.  The results suggest a decreased risk of renal impairment and post-operative mortality.
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1 Comment Posted in Acute Renal Failure, Critical Care
July 10, 2009

The Hannover Dialysis Outcome study: comparison of standard versus intensified extended dialysis for treatment of patients with acute kidney injury in the intensive care unit

Faulhaber-Walter R, Hafer C, Jahr N, Vahlbruch J, Hoy L, Haller H, Fliser D, Kielstein JT.   Nephrol Dial Transplant.   2009 Jul;24(7):2179-86

This prospective randomized parallel group trial aimed to assess mortality and renal recovery of patients with acute kidney injury (AKI) receiving either standard (SED) or intensified extended dialysis (IED) therapy in the intensive care unit. 156 patients with AKI were randomly assigned to receive standard dialysis or intensified dialysis. No differences between intensified and standard [...]

No Comments Posted in Acute Renal Failure, Critical Care
May 1, 2009

Critical Care Nephrology: Core Curriculum 2009

Liu KD.   Am J Kidney Dis.   2009 May;53(5):898-910

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No Comments Posted in AJKD Core Curriculum, Critical Care
April 1, 2009

Impact of continuous venovenous hemofiltration on organ failure during the early phase of severe sepsis: a randomized controlled trial.

Payen D, Mateo J, Cavaillon JM, Fraisse F, Floriot C, Vicaut E, Hemofiltration and Sepsis Group of the Collège National de Réanimation et de Médecine d'Urgence des Hôpitaux extra-Universitaires.   Crit Care Med.   2009 Mar;37(3):803-10

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No Comments Posted in Critical Care
November 1, 2008

Dialysis dosing in critically ill patients with acute kidney injury.

Humes HD, Ding F, Song JH.   Am J Kidney Dis.   2008 Oct;52(4):649-52

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No Comments Posted in Critical Care
November 1, 2008

Dialysis dose in acute kidney injury: no time for therapeutic nihilism – a critical appraisal of the Acute Renal Failure Trial Network study.

Ronco C, Cruz D, Oudemans van Straaten H, Honore P, House A, Bin D, Gibney N.   Crit Care.   2008;12(5):308

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No Comments Posted in Critical Care
June 1, 2008

Intensity of Renal Support in Critically Ill Patients with Acute Kidney Injury.

VA/NIH Acute Renal Failure Trial Network, Palevsky PM, Zhang JH, O'Connor TZ, Chertow GM, Crowley ST, Choudhury D, Finkel K, Kellum JA, Paganini E, Schein RM, Smith MW, Swanson KM, Thompson BT, Vijayan A, Watnick S, Star RA, Peduzzi P.   N Engl J Med.   2008 Jul 3;359(1):7-20

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1 Comment Posted in Critical Care
June 1, 2008

Dialysis in Acute Kidney Injury — More Is Not Better.

Bonventre JV.   N Engl J Med.   2008 Jul 3;359(1):82-4

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No Comments Posted in Critical Care
June 1, 2008

Standard versus high-dose CVVHDF for ICU-related acute renal failure.

Tolwani AJ, Campbell RC, Stofan BS, Lai KR, Oster RA, Wille KM.   J Am Soc Nephrol.   2008 Jun;19(6):1233-8

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No Comments Posted in Critical Care
June 1, 2008

Dialysis dosage in acute kidney injury: still a conundrum?

Mehta RL, Bouchard J.   J Am Soc Nephrol.   2008 Jun;19(6):1046-8

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No Comments Posted in Critical Care
April 1, 2008

Standard versus High-Dose CVVHDF for ICU-Related Acute Renal Failure.

Tolwani AJ, Campbell RC, Stofan BS, Lai KR, Oster RA, Wille KM.   J Am Soc Nephrol.   2008 Jun;19(6):1233-8

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No Comments Posted in Critical Care
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