Acute Renal Failure in the Critically Illby Rinaldo Bellomo (Editor), Claudio Ronco (Editor)
Over the last 10 years the syndrome of severe acute renal failure has progressively changed in its epidemiology. It is now most frequently seen in critically ill patients, typically in the context of sepsis and multiorgan failure. This epidemiologic change has meant that intensive care physicians and nephrologists must now work in close cooperation at all times and must take many com plex issues of prevention, pathogenesis, and management into account that they did not previously have to tackle. Simultaneously, the last 10 years have seen the development of major technical and conceptual changes in the field of renal replacement therapy. There are now previously unavailable therapeutic options that provide physicians with a flexible and rapidly evolving armamentarium. The nutrition of these patients, previously limited by the par tial efficacy of renal replacement therapies, has also become more aggressive and more in tune with the needs of critically ill patients. Increased understanding of the pathogenesis of the multi organ failure syndrome has focused on the role of many soluble "mediators of injury" (cytokines, leukotrienes, prostanoids etc.). These molecules are likely to participate in the pathogenesis of acute renal failure. Their generation and disposal is also affected by different techniques of artificial renal support.
Description: This new book on acute renal failure in critical care settings was published as part of a series devoted to updates in intensive care and emergency medicine.
Purpose: Its purpose is to review the major developments in the field of acute renal failure during the last decade, with a focus on pathogenesis, morphology, diagnosis, prevention, and treatment, particularly as applied to critically ill patients.
Audience: The book addresses issues and topics relevant to intensive care physicians and nephrologists. The chapter authors are predominantly European and Australian, reflecting the affiliations of the coeditors. Many are internationally respected authorities in their respective fields.
Features: The chapters are generally quite well written; however, significant overlap and redundancies are present in a few areas. The references are very current, and the coverage is quite broad. The illustrations are limited and only marginally useful.
Assessment: This is a useful book for a limited audience. Its virtues are the comprehensiveness of coverage and the very current nature of the literature. It likely will appeal predominantly to intensive care physicians seeking a concise source of information on the topic of acute renal failure. It has a lesser appeal to general nephrologists, because much of the information can also be found in other general nephrology textbooks, although not quite as current as in this book.
- Springer Berlin Heidelberg
- Publication date:
- Update in Intensive Care and Emergency Medicine Series , #20
- Edition description:
- Softcover reprint of the original 1st ed. 1995
- Product dimensions:
- 6.10(w) x 9.25(h) x 0.04(d)
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