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Editorial
Published at www.nejm.org May 20, 2008 (10.1056/NEJMe0803765)

Dialysis in Acute Kidney Injury — More Is Not Better
Joseph V. Bonventre, M.D., Ph.D.

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-Related Article
 by The VA/NIH Acute Renal Failure Trial Network
-PubMed Citation
Acute kidney injury is associated with morbidity and mortality rates of more than 50% in critically ill patients, despite the potential for recovery of renal function and many advances in medical management.1 To manage the care of patients with acute kidney injury, we must optimize their hemodynamic and volume status, correct metabolic abnormalities, provide adequate nutrition, and minimize progression of injury. Dialysis is often required, and critical factors to consider when designing a dialysis strategy for patients with acute kidney injury are determining the extent of dialysis and fluid removal, determining when to start dialysis, and selecting the most appropriate . . . [Full Text of this Article]


Source Information

From the Renal Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston.

This article (10.1056/NEJMe0803765) was published at www.nejm.org on May 20, 2008. It will appear in the July 3 issue of the Journal.


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