Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-5: Acute Kidney Injury: Diagnosis and Management (Anitha Vijayan, MD, FASN)

5: Acute Kidney Injury: Diagnosis and Management (Anitha Vijayan, MD, FASN)

Video Transcription

Video Summary

The video discusses the diagnosis and management of acute kidney injury (AKI). AKI is a global issue that adds to hospital costs and mortality rates. The video outlines the standardized definitions of AKI and emphasizes the importance of urine output as part of the definition. The incidence of AKI varies depending on the definitions used, but it can be as high as 74% when using the KDIGO criteria. AKI can have systemic effects, affecting other organs, and it can accelerate the progression to end-stage renal disease. The video provides insights into the different causes of AKI and discusses prevention strategies such as volume resuscitation and avoiding nephrotoxins. It also mentions the use of biomarkers, such as NephroCheck, to predict the risk of AKI and guide management. The video concludes by highlighting the role of urine microscopy and the importance of early nephrology consultation in managing AKI.

Keywords

acute kidney injury

urine output

KDIGO criteria

biomarkers

prevention strategies

nephrology consultation

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