Books > Medicine > Other branches of medicine > Accident & emergency medicine > Intensive care medicine
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Acute Renal Failure in the Critically Ill (Paperback, Softcover reprint of the original 1st ed. 1995)
Loot Price: R2,974
Discovery Miles 29 740
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Acute Renal Failure in the Critically Ill (Paperback, Softcover reprint of the original 1st ed. 1995)
Series: Update in Intensive Care and Emergency Medicine, 20
Expected to ship within 10 - 15 working days
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Over the last 10 years the syndrome of severe acute renal failure
has progressively changed in its epidemiology. It is now most
frequently seen in critically ill patients, typically in the
context of sepsis and multiorgan failure. This epidemiologic change
has meant that intensive care physicians and nephrologists must now
work in close cooperation at all times and must take many com plex
issues of prevention, pathogenesis, and management into account
that they did not previously have to tackle. Simultaneously, the
last 10 years have seen the development of major technical and
conceptual changes in the field of renal replacement therapy. There
are now previously unavailable therapeutic options that provide
physicians with a flexible and rapidly evolving armamentarium. The
nutrition of these patients, previously limited by the par tial
efficacy of renal replacement therapies, has also become more
aggressive and more in tune with the needs of critically ill
patients. Increased understanding of the pathogenesis of the multi
organ failure syndrome has focused on the role of many soluble
"mediators of injury" (cytokines, leukotrienes, prostanoids etc.).
These molecules are likely to participate in the pathogenesis of
acute renal failure. Their generation and disposal is also affected
by different techniques of artificial renal support."
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