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Review
. 2021 Oct;37(4):835-849.
doi: 10.1016/j.ccc.2021.05.007. Epub 2021 May 27.

Acute Kidney Injury and Acute Respiratory Distress Syndrome

Bryan D Park  1 , Sarah Faubel  2
Affiliations
Review

Acute Kidney Injury and Acute Respiratory Distress Syndrome

Bryan D Park et al. Crit Care Clin. 2021 Oct.

Abstract

Acute kidney injury (AKI) complicates approximately a third of all acute respiratory distress syndrome (ARDS) cases, and the combination of the two drastically worsens prognosis. Recent advances in ARDS supportive care have led to improved outcomes; however, much less is known on how to prevent and support patients with AKI and ARDS together. Understanding the dynamic relationship between the kidneys and lungs is crucial for the practicing intensivist to prevent injury. This article summarizes key concepts for the critical care physician managing a patient with ARDS complicated by AKI. Also provided is a discussion of AKI in the COVID-19 era.

Keywords: Acute kidney injury; Acute respiratory distress syndrome; COVID-19; Intensive care unit.

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Conflict of interest statement

Disclosure None.

Figures

Fig. 1
Fig. 1
ARDS complicated by severe AKI has increased mortality compared with ARDS alone.
See this image and copyright information in PMC

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