Show simple item record

dc.contributor.authorJoannidis, Michael
dc.contributor.authorForni, Lui G
dc.contributor.authorKlein, Sebastian J
dc.contributor.authorHonore, Patrick M
dc.contributor.authorKashani, Kianoush
dc.contributor.authorOstermann, Marlies
dc.contributor.authorProwle, John
dc.contributor.authorBagshaw, Sean M
dc.contributor.authorCantaluppi, Vincenzo
dc.contributor.authorDarmon, Michael
dc.contributor.authorDing, Xiaoqiang
dc.contributor.authorFuhrmann, Valentin
dc.contributor.authorHoste, Eric
dc.contributor.authorHusain-Syed, Faeq
dc.contributor.authorLubnow, Matthias
dc.contributor.authorMaggiorini, Marco
dc.contributor.authorMeersch, Melanie
dc.contributor.authorMurray, Patrick T
dc.contributor.authorRicci, Zaccaria
dc.contributor.authorSingbartl, Kai
dc.contributor.authorStaudinger, Thomas
dc.contributor.authorWelte, Tobias
dc.contributor.authorRonco, Claudio
dc.contributor.authorKellum, John A
dc.date.accessioned2021-06-10T09:46:09Z
dc.date.available2021-06-10T09:46:09Z
dc.date.issued2019-12-09
dc.identifier.pmid31820034
dc.identifier.doi10.1007/s00134-019-05869-7
dc.identifier.urihttp://hdl.handle.net/10147/629664
dc.descriptionBackground: Multi-organ dysfunction in critical illness is common and frequently involves the lungs and kidneys, often requiring organ support such as invasive mechanical ventilation (IMV), renal replacement therapy (RRT) and/or extracorporeal membrane oxygenation (ECMO). Methods: A consensus conference on the spectrum of lung-kidney interactions in critical illness was held under the auspices of the Acute Disease Quality Initiative (ADQI) in Innsbruck, Austria, in June 2018. Through review and critical appraisal of the available evidence, the current state of research, and both clinical and research recommendations were described on the following topics: epidemiology, pathophysiology and strategies to mitigate pulmonary dysfunction among patients with acute kidney injury and/or kidney dysfunction among patients with acute respiratory failure/acute respiratory distress syndrome. Furthermore, emphasis was put on patients receiving organ support (RRT, IMV and/or ECMO) and its impact on lung and kidney function. Conclusion: The ADQI 21 conference found significant knowledge gaps about organ crosstalk between lung and kidney and its relevance for critically ill patients. Lung protective ventilation, conservative fluid management and early recognition and treatment of pulmonary infections were the only clinical recommendations with higher quality of evidence. Recommendations for research were formulated, targeting lung-kidney interactions to improve care processes and outcomes in critical illness.en_US
dc.language.isoenen_US
dc.subjectAcute kidney injuryen_US
dc.subjectAcute respiratory distress syndromeen_US
dc.subjectExtracorporeal membrane oxygenationen_US
dc.subjectRenal replacement therapyen_US
dc.subjectWater-electrolyte balanceen_US
dc.titleLung-kidney interactions in critically ill patients: consensus report of the Acute Disease Quality Initiative (ADQI) 21 Workgroup.en_US
dc.typeArticleen_US
dc.identifier.eissn1432-1238
dc.identifier.journalIntensive care medicineen_US
dc.source.journaltitleIntensive care medicine
dc.source.volume46
dc.source.issue4
dc.source.beginpage654
dc.source.endpage672
refterms.dateFOA2021-06-10T09:46:09Z
dc.source.countryUnited States


Files in this item

Thumbnail
Name:
Joannidis2020_Article_LungKidn ...
Size:
2.569Mb
Format:
PDF

This item appears in the following Collection(s)

Show simple item record