J. P. Gómez-Villarreal, Paola Borbolla, R. A. Garza-Treviño, K. Kashani, Gregorio A. Romero-González, L. Rizo-Topete
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引用次数: 0
摘要
急性肾损伤(AKI)是重症监护病房(ICU)住院病人的一种常见并发症,众所周知,它是导致住院时间延长、慢性肾脏病(CKD)发展和死亡率上升等不良后果的独立因素,并给医疗系统带来高昂的相关费用。利用 AKI 生物标志物和护理点超声波检查(POCUS)等新工具进行血液动力学和血容量状态评估,可以更准确地检测或预测肾脏损伤,从而避免 AKI 的恶化。应考虑设计和实施肾病学快速反应小组(NRRT),以改善患者预后和医疗成本。本文概述了 NRRT 的实施情况。
Nephrology rapid response team in the intensive care unit
Acute kidney injury (AKI) is a frequent complication in patients admitted to the intensive care unit (ICU), and it is known as an independent factor for adverse outcomes like increased length of hospital stay, the development of chronic kidney disease (CKD), and increased mortality with the associated high cost to healthcare systems. The use of AKI biomarkers and new tools such as point-of-care ultrasonography (POCUS) to perform a hemodynamic and volume status assessment has made it more feasible to detect or predict kidney damage in a very accurate way, thereby avoiding the progression of AKI. The design and implementation of a nephrology rapid response team (NRRT) should be considered to improve patient outcomes and healthcare costs. In this paper, we provide an overview of the implementation of an NRRT.