Acute Renal Failure

Acute kidney injury (AKI) is a serious and as yet incompletely understood disorder in which sudden impairment of kidney function occurs secondary to one or more of a variety of underlying conditions. This disorder is very common in (elderly) ICU patients and is associated with very high mortality. Many of those who survive suffer from permanent kidney failure and other long-term morbidities, which may include cardiovascular disease and immune dysfunction. Epidemiologic evidence suggests that AKI is not a single disease, but a syndrome comprised of multiple, often coexisting, etiologies. Being usually part of multiorgan failure syndrome, it calls for multiple organ support therapy.The publication at hand contains sections on prerenal azotemia syndromes, dying ‘of’ or ‘with’ AKI, pathophysiology of sepsis-induced acute kidney injury, developments in prevention / treatment / rehabilitation, and renal support. Reporting the latest recommendations from experts, it provides valuable information for those that are interested in understanding the disorder and its treatment options.

Acute renal failure is undoubtedly one of the marize in one volume the recent advances on patho most interesting and frequent syndromes observed physiology of acute renal failure, the clinical aspects by clinicians. A great number of factors may of the various forms (even those which have been acutely impair renal function, but the pathoge disregarded in other surveys), the diagnostic tests netic mechanism by which this occurs is fre available today in our clinical practice, the general quently unknown. Even the pathophysiology of and specific therapeutic measures and (very impor ischaemic!toxic forms of acute renal failure re tant, indeed), some useful suggestions for preven mains controversial despite the huge number of tion. experimental and clinical studies. The contributors have provided clear, complete Medical management of patients with acute renal and up-to-date chapters. I am deeply grateful to failure has greatly improved in recent years, partic them all. ularly with the use of different types of dialytic I like to express my sincere thanks to Dr. A.J.

Continuous Renal Replacement Therapy (CRRT) is the standard of care for management of critically ill patients with acute renal failure. Part of the Pittsburgh Critical Care series, Continuous Renal Replacement Therapy provides concise, evidence-based, bedside guidance about this treatment modality, offering quick reference answers to clinicians' questions about treatments and situations encountered in daily practice. Organized into sections on theory, practice, special situations, and organizational issues, this volume provides a complete view of CRRT theory and practice. Tables summarize and highlight key points, and key studies and trials are included in each chapter. The second edition has been updated to include a new chapter on the use of biomarkers to aid in patient selection and timing, extensive revisions on terminology and nomenclature to match current standards, and the most up-to-date information on newly developed CRRT machines.

Acute Renal Failure in Practice, edited by practising renal physicians, is the essential guide to the clinical management of patients with acute renal failure and its complex, life-threatening metabolic sequelae. This book explains the workings of the normal kidney, illustrates the aetiology and pathophysiology of acute renal disease, and provides practical treatment guidelines relevant to the day-to-day needs of the practising clinician. There is a clear emphasis on the underlying pathogenic mechanisms naturally leading to a full understanding of the rationale behind the recommended treatments. Each chapter is illustrated throughout by coloured tables and diagrams, and incorporates unique easy-to-follow “practice points” algorithms which detail, step-by-step, the precise treatment protocols required to succeed in caring for these complex patients. An entire section is dedicated to dealing with patients who develop acute renal failure in specific hospital settings, such as the labour ward or intensive care unit. Doctors working in a wide range of acute medical specialities frequently encounter patients with acute renal failure and will therefore find this an invaluable clinical handbook. Contents:Fundamentals of Renal Physiology:Renal Tubular Function (D Shirley et al.)Acute Renal Failure — Common Principles:Aetiology of Acute Renal Failure (A Allen)Physiological Investigation (L Forni)Renal Biopsy in Acute Renal Failure (M Warren et al.)The Diseases:Shock and Acute Renal Failure (S Crail & S Morgan)Rhabdomyolysis (P Glynne & A Allen)Malignant Hypertension (R Thuraisingham)Rapidly Progressive Glomerulonephritis (G Gaskim)Malignant Diseases (P Choi)Specialist Scenarios:The Liver Unit (S Holt)The Haematology Unit (J Thompson)The Intensive Care Unit (J Cordingley & S Brett)and other papers Readership: Trainees and consultants in renal medicine, general internal medicine, accident & emergency medicine and intensive care medicine. Reviews:“The content is clearly laid out. It is well organised, concise and cross-referenced … this is a very useful book that would have a place in any clinical setting where patients with ARF are treated.”Communique

Acute kidney failure is an important clinical area in the intensive care unit setting. An estimated 5–20% of critically ill patients experience an episode of acute kidney failure during the course of their illness, and about 5% of patients admitted to an ICU will eventually require renal replacement therapy. In these patients, in-hospital mortality is extremely high, exceeding 50%. Thus, the early detection and causal treatment of acute kidney problems is vitally important for a successful outcome. Written by internationally renowned experts, this clinical reference offers helpful advice with the most recent information on the definition, epidemiology, pathophysiology, and clinical causes of acute kidney failure as a fundamental prerequisite for prevention of this disorder. Moreover, it also covers differential diagnostic approaches for patients with acute renal failure and provides a detailed outline of important measures for their clinical management. Finally, separate chapters are dedicated to various key aspects related to the adequate delivery of acute renal replacement therapy. It is intended as a helpful guide for all clinicians involved in the care of patients at risk of developing acute kidney problems.

A practical guide that provides a description of the evaluation of renal insufficiency. It aims to teach the physician how to recognize the tell-tale signs of the diseases that cause kidney failure and how to confirm their presence in an efficient manner. Major teaching points are reinforced by the presentation of 20 problem cases for the reader's diagnosis. The book also details the general management of the patient with renal failure and the treatment of various causative diseases.

This practical guide to the management of emergency situations in everyday clinical practice contains details on how to treat acute medical emergencies and how to provide treatment for the patient while awaiting specialist help.

This comprehensive guide covers the causes, characteristics, and presentations of acute kidney injury (AKI), as well as prevention and treatment. The first part of the book features chapters on the epidemiology and diagnosis of AKI. This is followed by sections on pathophysiology, clinical syndromes and patient management. Authored by leading clinicians, epidemiologists, basic scientists, and clinical trialists, this book captures the latest evidence and best practices for treating patients with AKI.