Research output: Contribution to journal › Article › peer-review
Pathophysiology of AKI. / Ostermann, Marlies; Liu, Kathleen.
In: Bailliere's Best Practice in Clinical Anaesthesiology, 22.09.2017.Research output: Contribution to journal › Article › peer-review
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TY - JOUR
T1 - Pathophysiology of AKI
AU - Ostermann, Marlies
AU - Liu, Kathleen
PY - 2017/9/22
Y1 - 2017/9/22
N2 - Acute kidney injury (AKI) is common in the perioperative and intensive care setting. Although AKI is usually multifactorial, haemodynamic instability, sepsis and drug toxicity are commonly implicated. Independent of the exact aetiology, several different pathophysiologic processes occur simultaneously and in sequence, including endothelial dysfunction, alteration of the microcirculation, tubular injury, venous congestion and intrarenal inflammation. A multitude of different immune cells from within the kidney and the systemic circulation play a role in the development, maintenance and recovery phase of AKI. In this review we describe the common processes involved in AKI and their connections with particular emphasis on the perioperative and critical care setting.
AB - Acute kidney injury (AKI) is common in the perioperative and intensive care setting. Although AKI is usually multifactorial, haemodynamic instability, sepsis and drug toxicity are commonly implicated. Independent of the exact aetiology, several different pathophysiologic processes occur simultaneously and in sequence, including endothelial dysfunction, alteration of the microcirculation, tubular injury, venous congestion and intrarenal inflammation. A multitude of different immune cells from within the kidney and the systemic circulation play a role in the development, maintenance and recovery phase of AKI. In this review we describe the common processes involved in AKI and their connections with particular emphasis on the perioperative and critical care setting.
KW - acute kidney injury
KW - pathophysiology
KW - inflammation
KW - endothelial dysfunction
KW - tubular injury
KW - microcirculation
U2 - 10.1016/j.bpa.2017.09.001
DO - 10.1016/j.bpa.2017.09.001
M3 - Article
JO - Bailliere's Best Practice in Clinical Anaesthesiology
JF - Bailliere's Best Practice in Clinical Anaesthesiology
SN - 1521-6896
ER -
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