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[Polytrauma and Acute Kidney Injury: A Multidisciplinary Approach].

Antonio GiudicissiDelia ApuzzoManlio Cosimo Claudio MecaFulvia ZanchelliLucia NeriPaolo Ferdinando BrunoMarco RuggeriVeronica SgarlatoSara SignorottiVanni AgnolettiAndrea Buscaroli
Published in: Giornale italiano di nefrologia : organo ufficiale della Societa italiana di nefrologia (2024)
The development of acute kidney injury (AKI) in polytrauma patients is a common and serious complication, with an incidence ranging from 6% to 50%. Polytrauma is a complex pathological condition that involves the collaboration of various specialists. On one hand, hemodynamic stabilization through fluid therapy and aminic support, with specific attack protocols, managed by anesthetists. On the other hand, if necessary, the initiation of renal replacement therapy such as Continuous Renal Replacement Therapy (CRRT), managed by nephrologists. CRRT is chosen both for managing fluid balance and ensuring the removal of toxic substances, as well as for proper control of electrolytes and acid-base balance.
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