Renal dysfunction and fluid and electrolyte disturbances - Introduction

A Special Author Introduction
Current Opinion in Critical Care
ISSN: 1070-5295 • Frequency: 6/year • Subscribe Now • Journal Website

By Charles Weissman

Acute renal failure (aka acute kidney injuty) is one of the most problematic components of the multiple organ dysfunction found in critically ill patients.  As intensivists become more adept at treating respiratory and circulatory failure, renal dysfunction with its effects on fluid and electrolyte balance, acid-base status, the immune system and coagulation system has become a major contributor to the morbidity and mortality in such patients.  Despite the use of intermittent and continuous renal replacement modalities acute kidney injury remains problematic.  This review examines the latest issues in the etiology and treatment of these patients.  The increasing use of contrast material for minimally invasive procedures, such as endovascular aortic grafts, has made acute kidney injury an prominant complication.  This review also updates the readers on the latest developments in fluid and electrolyte dyfunctions observed in the critically ill.    

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