Insuficiencia Renal Aguda en el paciente séptico. Parte II. Estrategias de prevención y tratamiento.
DOI:
https://doi.org/10.30445/rear.v13i10.984Palabras clave:
sepsis, shock séptico, daño renal agudo, insuficiencia renal aguda, paciente críticoResumen
Entre las disfunciones orgánicas desarrolladas con frecuencia en el contexto de la sepsis se encuentra involucrado el sistema renal. Las limitaciones en establecer un modelo fisiopatológico de insuficiencia renal (IRA) han retardado el desarrollo de intervenciones farmacológicas exitosas, y en la actualidad gran parte del tratamiento de la IRA en la sepsis es de soporte de la función renal. El propósito de esta revisión es trasmitir un resumen actualizado de las estrategias propuestas de prevención de la IRA y el tratamiento de esta en el paciente con sepsis o shock séptico. Se llevó a cabo una búsqueda bibliográfica mediante la base de datos PubMed utilizando la terminología MeSH mediante la siguiente estrategia: [(acute kidney injury) AND (sepsis)], [(patophisiology) AND (sepsis)], (acute kidney injury) AND (prevention)]. Se revisaron artículos con fecha de publicación entre 2015 y 2020 categorizados como revisión narrativa y guías de práctica clínica. Se excluyeron los artículos con idioma distinto al inglés o español.
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