Article Menu

Export Article

More by Authors Links

Article Data

  • Views 1453
  • Dowloads 168

Review

Open Access

Fluid therapy and acute kidney injury: a question of balance?

  • LUI G FORNI1

1Surrey Perioperative Anaesthesia & Critical Care Collaborative Research Group (SPACeR) School of Health Sciences, Faculty of Health & Medical Sciences, University of Surrey, Guildford United Kingdom

DOI: 10.22514/SV112.062016.2 Vol.11,Issue S2,June 2016 pp.17-21

Published: 14 June 2016

*Corresponding Author(s): LUI G FORNI E-mail: luiforni@nhs.net

PDF (143.47 kB) View Full-text

Abstract

Fluid therapy remains one of the funda-mental treatment options available for pa-tients with acute kidney injury. However, there remains debate over several aspects of this treatment with many questions unanswered. Firstly, how do we prescribe fluid in this group of patients? Secondly, what is the role of fluid therapy in patients with or at risk of developing acute kidney injury and thirdly, what role does fluid balance play, if any, in the development of acute kidney injury. The following narra-tive review will attempt to tie some of the aspects of the treatment of this devastat-ing syndrome together and formulate an overall hypothesis for fluid management in acute kidney injury.

Keywords

Acute kidney injury, glomerular filtration rate, fluid overload 

Cite and Share

LUI G FORNI. Fluid therapy and acute kidney injury: a question of balance?. Signa Vitae. 2016. 11(S2);17-21.

URL:

https://www.signavitae.com/articles/10.22514/SV112.062016.2

References

1. Hoste EA, Bagshaw SM, Bellomo R, Cely CM, Colman R, Cruz DN, et al. Epidemiology of acute kidney injury in critically ill patients: the multinational AKI-EPI study. Intensive care medicine. 2015;41(8):1411-1423.

2. KDIGO clinical practice guideline for acute kidney injury. Kidney Int Suppl. 2012;2:1-138.

3. Payen D. Back to basic physiological questions and consideration of fluids as drugs. British journal of anaesthesia. 2014;113(5):732-733.

4. Prowle JR, Bellomo R. Fluid administration and the kidney. Current opinion in critical care. 2010;16(4):332-336.

5. Mitchell JP, Schuller D, Calandrino FS, Schuster DP. Improved outcome based on fluid management in critically ill patients requiring pulmonary artery catheterization. The American review of respiratory disease. 1992;145(5):990-998.

6. National Heart L, Blood Institute Acute Respiratory Distress Syndrome Clinical Trials N, Wiedemann HP, Wheeler AP, Bernard GR, Thompson BT, et al. Comparison of two fluid-management strategies in acute lung injury. The New England journal of medicine. 2006;354(24):2564-2575.

7. Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B, et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock. The New England journal of medicine. 2001;345(19):1368-1377.

8. Padhi S, Bullock I, Li L, Stroud M, National Institute for H, Care Excellence Guideline Development G. Intravenous fluid therapy for adults in hospital: summary of NICE guidance. Bmj. 2013;347:f7073.

9. Vincent JL, De Backer D. Circulatory shock. The New England journal of medicine. 2013;369(18):1726-1734.

10. Myburgh JA, Mythen MG. Resuscitation fluids. The New England journal of medicine. 2013;369(13):1243-1251.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.

Index Copernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.

Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.

Scopus: CiteScore 1.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.

Submission Turnaround Time

Conferences

Top