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  • Title: Acute Kidney Injury in the Critically Ill.
    Author: Maxwell RA, Bell CM.
    Journal: Surg Clin North Am; 2017 Dec; 97(6):1399-1418. PubMed ID: 29132515.
    Abstract:
    Acute kidney injury (AKI) occurs frequently in the surgical intensive care unit and results in significant morbidity and mortality. AKI needs to be identified early and underlying causes treated or eliminated. Sepsis, major surgery such as coronary artery bypass, and hypovolemia are the most common causes and patients with underlying comorbidities have increased susceptibility. Treatment should begin by ensuring that patients are adequately resuscitated and all contributing causes are replaced or eliminated. After stabilization of hemodynamic status and elimination of contributing causes, treatment becomes largely supportive and may require the use of a renal replacement therapy.
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