Download Fluid Overload: Diagnosis and Management (Contributions to by Claudio Ronco, Carlo Crepaldi, Dinna N. Cruz PDF

By Claudio Ronco, Carlo Crepaldi, Dinna N. Cruz

Fluid overload is usually saw in sufferers with center failure and secondary oliguric states. an intensive review of the fluid prestige of the sufferer might help consultant the treatment and stop problems brought about by means of beside the point healing thoughts. the current book is split into 4 elements: Definition and category, Pathophysiology, prognosis and treatment. within the first part, the authors current new definitions for middle failure, acute kidney harm and cardiorenal syndromes to facilitate the method of figuring out the advanced hyperlink among the center and the kidney. hence, varied stipulations resulting in fluid overload are defined, through an account of rising diagnostic instruments, treatments and applied sciences dedicated to the therapy of sufferers with critical fluid-related problems. truly dependent and written, the current publication is a pragmatic instrument for physicians and pros excited by the administration and care of sufferers with mixed middle and kidney issues. in addition, it additionally serves as a reference textbook for clinical scholars, citizens and fellows dealing in daily perform with fluid overloaded and oliguric sufferers.

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Extra resources for Fluid Overload: Diagnosis and Management (Contributions to Nephrology, Vol. 164)

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Karger AG, Basel Introduction Cardiac disease is often associated with worsening renal function and vice versa. The coexistence of cardiac and renal disease significantly increases mortality, morbidity, and the complexity and cost of care [1, 2]. Syndromes describing the interaction between the heart and the kidney are recognized, but have never Table 1. Definition and classification of the CRS CRS general definition: Disorders of the heart and kidneys whereby acute or chronic dysfunction in one organ may induce acute or chronic dysfunction of the other Acute CRS (Type 1) Acute worsening of cardiac function leading to renal dysfunction Chronic CRS (Type 2) Chronic abnormalities in cardiac function leading to renal dysfunction Acute Renocardiac Syndrome (Type 3) Acute worsening of renal function causing cardiac dysfunction Chronic Renocardiac Syndrome (Type 4) Chronic abnormalities in renal function leading to cardiac disease Secondary CRS (Type 5) Systemic conditions causing simultaneous dysfunction of the heart and kidney been clearly defined and classified.

Rarely, decreased renal perfusion may also occur as a result of an outflow problem such a renal vein thrombosis or abdominal compartment syndrome which is a symptomatic organ dysfunction that results from an increase in intra-abdominal pressure. Abdominal compartment syndrome leads to AKI and acute oliguria mainly by directly increasing renal outflow pressure, thus reducing renal perfusion. Other possible mechanisms decreasing renal perfusion pressure include direct parenchymal compression and arterial vasoconstriction mediated by stimulation of the sympathetic nervous and renin-angiotensin systems (renin-mediated arterial vasoconstriction) by the fall in cardiac output related to decreased venous return.

J Am Soc Nephrol 2006;17:2034–2047. 16 Ronco C, Cruz DN, Ronco F: Cardiorenal syndromes. Curr Opin Crit Care 2009;15:384–391. Claudio Ronco, MD Department of Nephrology, Dialysis & Transplantation International Renal Research Institute San Bortolo Hospital Viale Rodolfi 37 I–36100 Vicenza (Italy) Tel. it 38 Ronco Pathophysiology Ronco C, Costanzo MR, Bellomo R, Maisel AS (eds): Fluid Overload: Diagnosis and Management. Contrib Nephrol. Basel, Karger, 2010, vol 164, pp 39–45 Oliguria and Fluid Overload Thomas Rimmelé и John A.

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