Acute kidney injury in the burn patient
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Abstract
Introducción: Las quemaduras suponen la cuarta causa de trauma en todo el mundo, usualmente se asocian en gran parte a componente renal, generando un deterioro abrupto de la función renal manifestado en descenso de la tasa de filtrado glomerular como en el balance hídrico del paciente. Objetivo: Presentar una revisión narrativa sobre los aspectos relacionados con el abordaje fisiopatológico, diagnósticos y terapéutico en el paciente quemado con lesión renal aguda. Métodos: Revisión narrativa de artículos relevantes y destacados en el área del manejo del paciente quemado con lesión renal aguda, de diferentes bases de datos como Scopus, Medline, Embase y Google Scholar. Resultados: Los mecanismos fisiopatológicos que conducen al paciente quemado a generar lesión renal aguda han sido ampliamente descritos, asociados principalmente a procesos de rabdomiólisis asociado a condiciones agudas como hipovolemia, entre otras. Conclusiones: Un abordaje optimo en el paciente quemado con compromiso renal agudo, puede mejorar la tasa de sobrevida y rehabilitación de la función renal del paciente, previniendo desenlaces fatales, aumentando la sobrevida de pacientes y las complicaciones asociadas a la misma.
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