Title |
Blood pressure and acute kidney injury
|
---|---|
Published in |
Critical Care, February 2017
|
DOI | 10.1186/s13054-017-1611-7 |
Pubmed ID | |
Authors |
Ryota Sato, Sarah Kyuragi Luthe, Michitaka Nasu |
Abstract |
Maintaining the optimal blood pressure is an important aspect of preventing acute kidney injury (AKI), especially for vasopressor-dependent patients. Although mean arterial pressure (MAP) has played an important role in previous trials for prevention of AKI, there is little evidence that MAP actually reflects organ perfusion. In fact, several studies have suggested that perfusion pressure, including diastolic perfusion pressure and mean perfusion pressure (MPP) and calculated with central venous pressure (CVP), may be more useful than the widely used MAP to help prevent AKI. This emphasizes the importance of maintaining diastolic arterial pressure and avoiding elevation of CVP to prevent AKI in patients with sepsis or invasive surgery. To achieve this, further investigation regarding titrated fluid therapy and vasopressors is warranted. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 5 | 19% |
Mexico | 3 | 12% |
United States | 2 | 8% |
Italy | 1 | 4% |
Comoros | 1 | 4% |
Canada | 1 | 4% |
Spain | 1 | 4% |
South Africa | 1 | 4% |
Malaysia | 1 | 4% |
Other | 0 | 0% |
Unknown | 10 | 38% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 17 | 65% |
Practitioners (doctors, other healthcare professionals) | 5 | 19% |
Scientists | 2 | 8% |
Science communicators (journalists, bloggers, editors) | 2 | 8% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 75 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 13 | 17% |
Student > Bachelor | 12 | 16% |
Student > Master | 11 | 15% |
Other | 10 | 13% |
Researcher | 6 | 8% |
Other | 11 | 15% |
Unknown | 12 | 16% |
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---|---|---|
Medicine and Dentistry | 36 | 48% |
Nursing and Health Professions | 6 | 8% |
Biochemistry, Genetics and Molecular Biology | 3 | 4% |
Pharmacology, Toxicology and Pharmaceutical Science | 3 | 4% |
Arts and Humanities | 2 | 3% |
Other | 8 | 11% |
Unknown | 17 | 23% |