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Critical Care Nephrology: Core Curriculum 2020
Journal article   Open access   Peer reviewed

Critical Care Nephrology: Core Curriculum 2020

Benjamin R. Griffin, Kathleen D. Liu and J. Pedro Teixeira
American journal of kidney diseases, Vol.75(3), pp.435-452
03/2020
DOI: 10.1053/j.ajkd.2019.10.010
PMCID: PMC7333544
PMID: 31982214
url
https://www.ncbi.nlm.nih.gov/pmc/articles/7333544View
Open Access

Abstract

The intensive care unit (ICU) is a common source of high-acuity nephrology consultations. Although advanced chronic kidney disease is associated with increased ICU mortality, the prognosis of acute kidney injury (AKI) requiring renal replacement therapy is far worse, with short-term mortality rates that often exceed 50%. As such, it is essential that practicing nephrologists be comfortable caring for critically ill patients. This Core Curriculum article emphasizes the developments of the last decade since the last Core Curriculum installment on this topic in 2009. We focus on some of the most common causes of AKI in the critical care setting and use these AKI causes to delve into specific topics most relevant to critical care nephrology, including acute respiratory distress syndrome, extracorporeal membrane oxygenation, evolving concepts in fluid management, and shock. We conclude by reviewing the basics of palliative care nephrology and dialysis decision making in the ICU.
 abdominal compartment syndrome Acute kidney injury (AKI) acute liver failure acute respiratory distress syndrome (ARDS) cardiac surgery–associated AKI continuous renal replacement therapy (CRRT) critical care nephrology extracorporeal membrane oxygenation (ECMO) fluid overload intensive care unit (ICU) intraabdominal hypertension intravenous fluids palliative care respiratory failure Review sepsis shock

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