Induction of diuresis and natriuresis for renal protection: Update on the RenalGuard system™

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• 作者：R. Solomon ; A. Segal
• 关键词：Forced diuresis ; RenalGuard® ; Contrast media ; Contrast induced nephropathy
• 刊名：R¨¦animation
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：25
• 期：6
• 页码：591-596
• 全文大小：144 KB
• 刊物主题：Emergency Medicine; Anesthesiology; Intensive / Critical Care Medicine;
• 出版者：Springer Paris
• ISSN：1951-6959
• 卷排序：25

文摘

“Forced diuresis” is a technique that involves inducing a high urine flow rate. In most circumstances, diuretics and intravenous fluid replacement are necessary. Forced diuresis is recommended in a number of circumstances to improve or protect kidney function. The technique can be difficult to manage in clinical practice, often leading to net volume loss or excess. In this article, we review the data on the use of the RenalGuard system™. RenalGuard® accurately matches urine output and intravenous fluid input in real time and prevents any net volume changes. To date, RenalGuard® has been studied for prevention of acute kidney injury in patients undergoing cardiac angiography, percutaneous coronary intervention, and transcatheter aortic valve implantation. The possible mechanisms involved in producing a benefit are discussed.