ISSN: 2167-0870
Department of Center for Acute Care Nephrology, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio, USA
Dr. Alexandra Schmerge is currently working in Department of Cardiothoracic Surgery, Alexandria Faculty of Medicine, Alexandria, Egypt. He has published numerous research papers and articles in reputed journals and has various other achievements in the related studies. He has extended his valuable service towards the scientific community with his extensive research work.
Research Article
Early Sequential Risk Stratification Assessment to Optimize Fluid Dosing, CRRT Initiation and Discontinuation in Critically Ill Children with Acute Kidney Injury: Taking Focus 2 Process Article
Author(s): Jean-Philippe Roy*, Kelli A. Krallman, Rajit K. Basu, Ranjit S. Chima, Lin Fei, Sarah Wilder, Alexandra Schmerge, Bradley Gerhardt, Kaylee Fox, Cassie Kirby and Stuart L. Goldstein
Background: Acute Kidney Injury (AKI) is common in critically ill children and is associated with increased morbidity and mortality. Recognition and management of AKI is often delayed, predisposing patients to risk of clinically significant fluid accumulation (Fluid Overload (FO)). Early recognition and intervention in high risk patients could decrease fluid associated morbidity. We aim to assess an AKI Clinical Decision Algorithm (CDA) using a sequential risk stratification strategy integrating the Renal Angina Index (RAI), urine Neutrophil Gelatinase-Associated Lipocalin (NGAL) and the Furosemide Stress Test (FST) to optimize AKI and FO prediction and management in critically ill children.
Methods/Design: This single center prospective observational cohort study evaluates the AKI CDA in a Pediatric Intensive Care Unit (PICU). Every patient.. View More»
DOI:
10.35248/2167-0870.20.10.435