Acute Kidney Injury and Sepsis.

Surg Infect (Larchmt)

1 Department of Surgery, University of Minnesota, Minneapolis, Minnesota.

Published: August 2018

Background: Worldwide, both acute kidney injury (AKI) and sepsis are significant clinical complications, particularly in critical care patients. Sepsis is an important cause of AKI, and AKI is a common complication of sepsis.

Methods: We reviewed the literature, including current practice guidelines, on sepsis-associated AKI.

Results: We assessed causes of renal failure, potential mechanisms of sepsis-associated acute kidney injury, current practice guidelines, diagnostic criteria and methods, prevention strategies, treatment options, and outcomes.

Conclusion: In patients with sepsis-associated AKI, appropriate fluid resuscitation and maintenance of blood pressure are important to prevent further kidney damage. Despite multiple clinical trials, the mechanisms of sepsis-associated AKI and the best treatment options remain unclear.

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Source
http://dx.doi.org/10.1089/sur.2017.261DOI Listing

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