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ATS publishes joint statement on renal failure in the ICU patient
Date:5/14/2010

Despite the fact that recent medical advances have allowed healthcare professionals to stabilize patients who would have otherwise died, many stabilized patients later develop organ system failure. In fact, acute renal failure is one of the biggest threats to critically ill patients: forty percent of patients with this condition die. And yet, there is an acute lack of clinical informationand even consensus on the definition of renal failure in critical care settingsthat experts cannot even agree upon its name.

The International Consensus Conference in Intensive Care Medicine on the "Prevention and Management of Acute Renal Failure in the ICU Patient" was convened jointly by the ATS, the European Respiratory Society, the European Society of Intensive Care Medicine, the Society of Critical Care Medicine and the Socit de Ranimation de Langue Franaise in Montreal on May 4-7 in 2007 to address some of the most fundamental questions related to renal failure in the ICU.

The panel of experts who convened at the consensus conference issued a statement that appeared in the May 15 issue of the American Journal of Respiratory and Critical Care Medicine. Their article focused on the identification, prevention, treatment and effects of renal failure on mortality and recovery among critically ill patients. The panel specifically examined the prevention of acute renal failure in the context of different disease states, including liver failure, lung injury, cardiac surgery, tumor lysis syndrome, rhabdomyolysis and elevated intraabdominal pressure. They also analyzed the impact of renal replacement therapy (either intermittent hemodialysis or continuous hemofiltration) on mortality and recovery.

The statement recommended the use of newly described definitions and the term "acute kidney insufficiency" to describe these states. It also indicated that AKI significantly contributes to the morbidity and mortality of critically ill patients. Fac
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Contact: Keely Savoie
ksavoie@thoracic.org
212-315-8620
American Thoracic Society
Source:Eurekalert

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