Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Year in review 2009: Critical Care – nephrology. | Ricci and Ronco Critical Care 2010 14 241 http content 14 6 241 CRITICAL CARE REVIEW L_ Year in review 2009 Critical Care - nephrology Zaccaria Ricci 1 and Claudio Ronco2 Abstract We summarize original research in the field of critical care nephrology accepted or published in 2009 in Critical Care or when considered relevant or directly linked to this research in other journals. Four main topics have been identified for a rapid overview a post-surgical acute kidney injury AKI b timing of renal replacement therapy RRT different authors examined this critical issue of RRT in different settings post-surgical patients burned patients and intensive care unit patients c DoReMi Dose Response Multicentre International and other important surveys on dialysis dose and management and d pediatric AKI and RRT interest in this last topic is increasing and studies on biomarkers complications of pediatric dialysis and application of RRT to extracorporeal membrane oxygenation are discussed. Post-surgical acute kidney injury Acute kidney injury AKI has been proven to increase patient mortality in all clinical settings general out-ofhospital population in-hospital admissions adult and pediatric intensive care units ICU adult and pediatric cardiac surgery and last but not least the relatively high portion formed by post-operative general surgery patients. In a study population of 1 166 patients without previous renal insufficiency Abelha and colleagues 1 elegantly showed that met AKI criteria. Interestingly AKI was diagnosed when criteria of class I or greater of the Acute Kidney Injury Network AKIN classification were present. On multivariate analysis American Society of Anesthesiologists ASA physical status Revised Cardiac Risk Index RCRI score high-risk surgery and congestive heart failure were identified as the independent preoperative risk factors for AKI during the post-operative period. The RCRI score includes the following variables Correspondence .
