scholarly journals Review of Extracorporeal Membrane Oxygenation and Dialysis-Based Liver Support Devices for the Use of Nephrologists

2017 ◽  
Vol 46 (2) ◽  
pp. 139-149 ◽  
Author(s):  
Tamim Hamdi ◽  
Biff F. Palmer
Keyword(s):  
Intensive Care Unit ◽  
Acute Kidney Injury ◽  
Clinical Evidence ◽  
Kidney Injury ◽  
Severe Illness ◽  
Liver Support ◽  
Technical Aspects ◽  
Organ Systems ◽  
Liver Support Devices ◽  
Support Devices

Acute kidney injury in the intensive care unit (ICU) is a manifestation of an underlying severe illness that commonly involves other organ systems. Pulmonary, cardiac, and hepatic failures are the most prevalent. This article provides a simplified review of the technical aspects of extracorporeal cardiopulmonary and liver support devices used in the adult ICU patient, as well as a summary of the most relevant and up-to-date clinical evidence that supports their use.

scholarly journals The End-Organ Impairment in Liver Cirrhosis: Appointments for Critical Care

2012 ◽  
Vol 2012 ◽  
pp. 1-13 ◽  
Author(s):  
Antonio Figueiredo ◽  
Francisco Romero-Bermejo ◽  
Rui Perdigoto ◽  
Paulo Marcelino
Keyword(s):  
Intensive Care Unit ◽  
Liver Cirrhosis ◽  
Liver Failure ◽  
Point Of View ◽  
Clinical State ◽  
Liver Support ◽  
Extended Lifespan ◽  
Advanced Stages ◽  
Liver Support Devices ◽  
Support Devices

Liver cirrhosis (LC) can lead to a clinical state of liver failure, which can exacerbate through the course of the disease. New therapies aimed to control the diverse etiologies are now more effective, although the disease may result in advanced stages of liver failure, where liver transplantation (LT) remains the most effective treatment. The extended lifespan of these patients and the extended possibilities of liver support devices make their admission to an intensive care unit (ICU) more probable. In this paper the LC is approached from the point of view of the pathophysiological alterations present in LC patients previous to ICU admission, particularly cardiovascular, but also renal, coagulopathic, and encephalopathic. Infections and available liver detoxifications devices also deserve mentioning. We intend to contribute towards ICU physician readiness to the care for this particular type of patients, possibly in dedicated ICUs.

scholarly journals POS-004 HYPOALBUMINEMIA AND ACUTE KIDNEY INJURY IN PATIENTS ADMITTED TO INTENSIVE CARE UNIT

2021 ◽  
Vol 6 (4) ◽  
pp. S2
Author(s):  
A. BACA ◽  
M. Carmoma Antonio ◽  
M. Wasung ◽  
P. Visoso ◽  
M. Sebastian Alberto
Keyword(s):  
Intensive Care Unit ◽  
Acute Kidney Injury ◽  
Intensive Care ◽  
Kidney Injury

scholarly journals Dosing of daptomycin in intensive care unit patients with acute kidney injury undergoing extended dialysis--a pharmacokinetic study

2009 ◽  
Vol 25 (5) ◽  
pp. 1537-1541 ◽  
Author(s):  
J. T. Kielstein ◽  
C. Eugbers ◽  
S. M. Bode-Boeger ◽  
J. Martens-Lobenhoffer ◽  
H. Haller ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Acute Kidney Injury ◽  
Intensive Care ◽  
Pharmacokinetic Study ◽  
Kidney Injury

scholarly journals Intensive care unit physician-delivered point of care renal tract ultrasound in acute kidney injury is feasible

2018 ◽  
Vol 19 (4) ◽  
pp. 313-318 ◽  
Author(s):  
Prashant Parulekar ◽  
Ed Neil-Gallacher ◽  
Alex Harrison
Keyword(s):  
Intensive Care Unit ◽  
Acute Kidney Injury ◽  
Intensive Care ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Point Of Care ◽  
Kidney Injury ◽  
Diagnostic Quality ◽  
The Core ◽  
Low Incidence

Acute kidney injury is common in critically ill patients, with ultrasound recommended to exclude renal tract obstruction. Intensive care unit clinicians are skilled in acquiring and interpreting ultrasound examinations. Intensive Care Medicine Trainees wish to learn renal tract ultrasound. We sought to demonstrate that intensive care unit clinicians can competently perform renal tract ultrasound on critically ill patients. Thirty patients with acute kidney injury were scanned by two intensive care unit physicians using a standard intensive care unit ultrasound machine. The archived images were reviewed by a Radiologist for adequacy and diagnostic quality. In 28 of 30 patients both kidneys were identified. Adequate archived images of both kidneys each in two planes were possible in 23 of 30 patients. The commonest reason for failure was dressings and drains from abdominal surgery. Only one patient had hydronephrosis. Our results suggest that intensive care unit clinicians can provide focussed renal tract ultrasound. The low incidence of hydronephrosis has implications for delivering the Core Ultrasound in Intensive Care competencies.

Bioartificial liver support devices: historical perspectives

2003 ◽  
Vol 73 (9) ◽  
pp. 739-748 ◽  
Author(s):  
Fiona G. Court ◽  
Simon A. Wemyss-Holden ◽  
Ashley R. Dennison ◽  
Guy J. Maddern
Keyword(s):  
Bioartificial Liver ◽  
Liver Support ◽  
Historical Perspectives ◽  
Bioartificial Liver Support ◽  
Liver Support Devices ◽  
Support Devices

Current practice of diagnosis and management of acute kidney injury in intensive care unit in resource limited settings

2018 ◽  
Vol 46 ◽  
pp. 44-49 ◽  
Author(s):  
Nattachai Srisawat ◽  
Nattaya Sintawichai ◽  
Win Kulvichit ◽  
Nuttha Lumlertgul ◽  
Patita Sitticharoenchai ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Acute Kidney Injury ◽  
Intensive Care ◽  
Current Practice ◽  
Kidney Injury ◽  
Resource Limited Settings ◽  
Diagnosis And Management ◽  
Resource Limited
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