domingo, 24 de março de 2013

Acute Kidney Injury VS Acute Renal Failure

During my ICU placement I've noticed most physicians were starting to use the AKI designation instead of Acute Renal Failure, decided to research on it, and here is one of the articles I've come across, that explains why the designation change.

Until recently, no uniform standard existed for diagnosing and classifying acute renal failure. To clarify diagnosis,the Acute Dialysis Quality Initiative group stated its consensus on the need for a clear definition and classification system of renal dysfunction with measurable criteria.Today the term acute kidney injury has replaced the term acute renal failure,with an understanding thatsuch injury is a common clinical problemin critically ill patients and typically is predictive of an increase in morbidity andmortality.Aclassification system, known asRIFLE (risk of injury, injury,failure, loss offunction, and end-stagerenalfailure), includesspecific goalsfor preventing acute kidney injury: adequate hydration,maintenance ofrenal perfusion, limiting exposureto nephrotoxins, drug protectivestrategies, and the use ofrenal replacementtherapiesthatreducerenalinjury.

Full article

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