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Review
. 2024 Jun 28;41(3):2024-vol3.
doi: 10.69097/41-03-2024-02.

[Polytrauma and Acute Kidney Injury: A Multidisciplinary Approach]

[Article in Italian]
Antonio Giudicissi  1 , Delia Apuzzo  2 , Manlio Cosimo Claudio Meca  3 , Fulvia Zanchelli  1 , Lucia Neri  1 , Paolo Ferdinando Bruno  1 , Marco Ruggeri  1 , Veronica Sgarlato  1 , Sara Signorotti  1 , Vanni Agnoletti  3 , Andrea Buscaroli  1
Affiliations
Review

[Polytrauma and Acute Kidney Injury: A Multidisciplinary Approach]

[Article in Italian]
Antonio Giudicissi et al. G Ital Nefrol. .

Abstract

The development of acute kidney injury (AKI) in polytrauma patients is a common and serious complication, with an incidence ranging from 6% to 50%. Polytrauma is a complex pathological condition that involves the collaboration of various specialists. On one hand, hemodynamic stabilization through fluid therapy and aminic support, with specific attack protocols, managed by anesthetists. On the other hand, if necessary, the initiation of renal replacement therapy such as Continuous Renal Replacement Therapy (CRRT), managed by nephrologists. CRRT is chosen both for managing fluid balance and ensuring the removal of toxic substances, as well as for proper control of electrolytes and acid-base balance.

Keywords: Acute Kidney Injury; Continuous Renal Replacement Therapy; Polytrauma.

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