Auszug
Eine akute Einschränkung der Nierenfunktion bis hin zum dialysepflichtigen Nierenversagen ist eine sehr häufige Komplikation bei Intensivpatienten. Obwohl das akute Nierenversagen (ANV), verglichen mit anderen Organversagen, technisch relativ einfach zu überbrücken ist, liegt die Mortalität von Patienten mit ANV bei etwa 50% und hat sich seit Einführung der Nierenersatztherapie nicht wesentlich verbessert. Diese ungünstige Prognose beruht zu einem großen Teil darauf, dass das Auftreten eines ANV Ausdruck des Schwergrades der Grunderkrankung und der Multimorbidität von Intensivpatienten ist (Patienten sterben »mit«, aber nicht »am« ANV).
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Literatur
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Schindler, R., Eckardt, KU., Frei, U. (2008). Akutes Nierenversagen und extrakorporale Eliminationsverfahren. In: Burchardi, H., Larsen, R., Kuhlen, R., Jauch, KW., Schölmerich, J. (eds) Die Intensivmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-72296-0_60
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