When to correct coagulopathy in acute kidney injury?

Incidence of acute kidney injury (AKI) in adult trauma patients is 18% with 70% requiring renal replacement therapy. It is a challenge to treat AKI with coagulopathy since there are no defined transfusion triggers for these patients. We report a case wherein a polytrauma patient developed AKI for wh...

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Autores principales: Kaur, Manpreet, Gupta, Babita, D’souza, Nita, Shende, Seema
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2012
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4173474/
https://www.ncbi.nlm.nih.gov/pubmed/25885629
http://dx.doi.org/10.4103/0259-1162.108355
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author Kaur, Manpreet
Gupta, Babita
D’souza, Nita
Shende, Seema
author_facet Kaur, Manpreet
Gupta, Babita
D’souza, Nita
Shende, Seema
author_sort Kaur, Manpreet
collection PubMed
description Incidence of acute kidney injury (AKI) in adult trauma patients is 18% with 70% requiring renal replacement therapy. It is a challenge to treat AKI with coagulopathy since there are no defined transfusion triggers for these patients. We report a case wherein a polytrauma patient developed AKI for which he/she was dialysed and subsequently had an intracerebral bleed. There is a need to develop guidelines to transfusion triggers in AKI patients keeping vigilance on fluid overload, hyperkalemia and uraemia-induced platelet dysfunction.
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spelling pubmed-41734742014-10-22 When to correct coagulopathy in acute kidney injury? Kaur, Manpreet Gupta, Babita D’souza, Nita Shende, Seema Anesth Essays Res Case Report Incidence of acute kidney injury (AKI) in adult trauma patients is 18% with 70% requiring renal replacement therapy. It is a challenge to treat AKI with coagulopathy since there are no defined transfusion triggers for these patients. We report a case wherein a polytrauma patient developed AKI for which he/she was dialysed and subsequently had an intracerebral bleed. There is a need to develop guidelines to transfusion triggers in AKI patients keeping vigilance on fluid overload, hyperkalemia and uraemia-induced platelet dysfunction. Medknow Publications & Media Pvt Ltd 2012 /pmc/articles/PMC4173474/ /pubmed/25885629 http://dx.doi.org/10.4103/0259-1162.108355 Text en Copyright: © Anesthesia: Essays and Researches http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kaur, Manpreet
Gupta, Babita
D’souza, Nita
Shende, Seema
When to correct coagulopathy in acute kidney injury?
title When to correct coagulopathy in acute kidney injury?
title_full When to correct coagulopathy in acute kidney injury?
title_fullStr When to correct coagulopathy in acute kidney injury?
title_full_unstemmed When to correct coagulopathy in acute kidney injury?
title_short When to correct coagulopathy in acute kidney injury?
title_sort when to correct coagulopathy in acute kidney injury?
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4173474/
https://www.ncbi.nlm.nih.gov/pubmed/25885629
http://dx.doi.org/10.4103/0259-1162.108355
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