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Trauma: Renal Function and Hydroelectrolyte Balance Assessment in Real Time

Published online by Cambridge University Press:  28 June 2012

S.I. Magalini  and
Proietti
S.I. Magalini
Affiliation:
Institute of Anesthesiology and Resuscitation, Catholic University of the Sacred Heart, Rome, Italy
Proietti
Affiliation:
Institute of Anesthesiology and Resuscitation, Catholic University of the Sacred Heart, Rome, Italy
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Extract

The kidney plays a fundamental role in the maintenance of the homeostasis of all body fluids; it operates as an efficient buffer system in the prevention of dehydration, hyperhydration, acid base and electrolyte imbalance and it removes toxic metabolites. It is not surprising, therefore, that post traumatic acute tubular necrosis (ATN) is characterized by a mortality that exceeds 80% in spite of the progress offered by dialysis and clinical nutrition. The mechanisms of this critical pathological condition are summarized in Figure 1.

Type
Clinical Topics
Information
Prehospital and Disaster Medicine , Volume 3 , Issue 2: Contributions from the Fouth World Congress on Emergency and Disaster Medicine, Brighton, England May, 1985 , 1987 , pp. 67 - 72
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1987

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