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Akute Nierenschädigung – Frühwarnsystem und neue Behandlungspfade

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Akute Nierenschädigung

Zusammenfassung

Das Risiko der Bagatellisierung eines akuten Nierenfunktionsverlusts ist insgesamt hoch. Im klinischen Alltag erfolgt die Erkennung und Behandlung einer akuten Nierenschädigung zumeist zeitverzögert und nur in 10–40% der Fälle durch eine spezialisierte Disziplin. Die Frühdiagnose und individualisierte Ursachensuche sowie Behandlung der akuten Nierenschädigung stehen im Vordergrund. Klinische Akutmaßnahmen umfassen das Vermeiden von Nephronoxen bzw. den Ausschluss oder die Behandlung eines Harnstaus, einer Sepsis und der Komplikationen einer akuten Nierenschädigung. In der Literatur liegen ausreichende Hinweise für den klinischen Nutzen einer frühzeitigen und multimodalen Behandlung der akuten Nierenschädigung vor. Eine Verbesserung der Prognose betroffener Patienten wird durch optimierte Behandlungspfade wie einer verbesserten Nutzung etablierter Marker mittels EDV-gestützter Frühwarnsysteme (“AKI-Alarm”) und der Ausgabe eines Patientenausweises (“Nieren-Pass”) angestrebt.

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Authors and Affiliations

  1. Universitätsklinik für Nieren- und Hochdruckkrankheiten, Diabetologie und Endokrinologie Otto-von-Guericke Universität Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Deutschland

    Michael Haase & Anja Haase-Fielitz

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  1. Michael Haase
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  2. Anja Haase-Fielitz
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Correspondence to Michael Haase .

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Editors and Affiliations

  1. Universitätsklinik für Nieren- und Hochdruckkrankheiten, Otto-von-Guericke Universität Magdeburg, Magdeburg, Germany

    Michael Haase

  2. Universitätsklinik für Nieren- und Hochdruckkrankheiten, Otto-von-Guericke Universität Magdeburg, Magdeburg, Germany

    Anja Haase-Fielitz

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Haase, M., Haase-Fielitz, A. (2015). Akute Nierenschädigung – Frühwarnsystem und neue Behandlungspfade. In: Haase, M., Haase-Fielitz, A. (eds) Akute Nierenschädigung. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-45080-8_2

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  • DOI: https://doi.org/10.1007/978-3-642-45080-8_2

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-45079-2

  • Online ISBN: 978-3-642-45080-8

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