Renal and Metabolic Disorders

John A. Kellum and Jorge Cerda

Pittsburgh Critical Care Medicine

To-the-point quick reference
Practical solutions for the busy clinician
From the premier Critical Care Medicine Department in the US

Renal and Metabolic Disorders

John A. Kellum and Jorge Cerda

Pittsburgh Critical Care Medicine

Description

Metabolic and electrolyte disorders can pose special challenges to physicians caring for the critically ill patients. Constrained by time and circumstances, clinicians require rapid access to information to help assess and manage these often life-threatening conditions. In this book, a readily useable road map is presented, emphasizing the interactions among problems and suggesting clear lines of action. Keeping the physiopathological mechanisms to the essential, and maintaining an uncluttered format, each chapter provides guidelines to understanding "how did we get here" and "what should we do now", as quickly and safely as possible. Chapters describe clinical presentation and management of the most common renal, electrolyte, acid-base, metabolic and endocrine disorders, complicating the course of critically ill patients.

Contributing authors are all experts in their respective fields, who regularly engage in the day-to-day management of critically ill patients. In a rapidly changing field, the authors have endeavored to maintain an updated approach, emphasizing the most recent evidence on diagnosis and management. Although controversy in the interpretation and management of some problems is inevitable, the editors see it as a desirable way to depict differing interpretations and solutions for each problem. Each chapter ends with a selected list of key references to facilitate in-depth review of each subject.

As with other titles in the Pittsburgh Critical Care Medicine series, this book is intended for frequent use by both "budding experts" as well as by seasoned practitioners in need for of quick and effective reference.

Renal and Metabolic Disorders

John A. Kellum and Jorge Cerda

Pittsburgh Critical Care Medicine

Section A: Renal Disease

1 AKI I: the critically ill patient
2 AKI (Acute Kidney Injury) II: Special circumstances
3 AKI and Sepsis
4 The critically ill patient with CKD
5 Principles of fluid management in the ICU
6 Functional hemodynamic monitoring
7 Pharmacologic therapy in renal disease
8 Drug dosing in renal disease
9 RRT Indications, timing and patient selection
10 Choosing an RRT therapy
11 Combined lung and kidney failure
12 Combined liver and kidney failure
13 Renal disorders in Pregnancy
14 Renal disorders in Pediatrics
15 Acid-base disorders
16 Electrolyte disorders
17 Management of the renal transplant patient

Section B: Endocrine & Metabolic Disease

18 Diabetes mellitus
19 Thyroid disease
20 Adrenal disease
21 Calcium, bone and mineral disease
22 Nutrition in the critically ill patient

Renal and Metabolic Disorders

John A. Kellum and Jorge Cerda

Pittsburgh Critical Care Medicine

Author Information

Dr. Kellum is actively involved in education, research and administration. Dr. Kellum's research interests span various aspects of Critical Care Medicine, but center in critical care nephrology, sepsis and multi-organ failure, and clinical epidemiology, including consensus development and research methodology. He has authored more than 250 publications and has won several awards for teaching. He lectures widely and has given more than 300 seminars and invited lectures worldwide related to his research.

Jorge Cerdá, MD, FACP, FASN is currently a Clinical Professor of Medicine at the Albany Medical College, where he actively participates in the teaching and research program.
Dr. Cerda's main research interests have been in the field of Critical Care Nephrology and Chronic Kidney Disease and are focused on acute kidney injury (AKI) post cardiac surgery, continuous renal replacement therapies in AKI, and the epidemiology of AKI. Additionally, he currently participates in research on the management of secondary hyperparathyroidism and in multicentric trials in the treatment of IgA Nephropathy.

Contributors:

Anjali Acharya

Sean M Bagshaw
Division of Critical Care Medicine
University of Alberta Hospital
University of Alberta
Edmonton, Canada

Rinaldo Bellomo

Jodie Bryk
Jorge Cerdá, MD
Clinical Professor of Medicine
Department of Medicine
Division of Nephrology
Albany Medical College
Albany, NY

James Desemone, MD
Director of Medical Staff Quality
Ellis Medicine
and
Clinical Associate Professor of Medicine
Albany Medical College
Albany, NY

Xaime García

Eric A.J. Hoste, MD, PhD
Intensive Care Unit, Ghent University Hospital
Ghent University
Gent, Belgium
and
Senior Clinical Investigator of the Research Foundation-Flanders (Belgium) (FWO)
Arun Jeyabalan
Belinda Jim

John A. Kellum, MD
Professor and Vice-Chair
Department of Critical Care Medicine
University of Pittsburgh
Pittsburgh, PA

ROY O. MATHEW

Jerry McCauley

Mitra K. Nadim

Christina Nguyen, MD
Fellow, Pediatric Nephrology

Michael L. Moritz, MD
Associate Professor, Pediatrics
Clinical Director, Pediatric Nephrology
Medical Director, Pediatric Dialysis
Children's Hospital of Pittsburgh at UPMC
University of Pittsburgh School of Medicine
Pittsburgh, PA

Thomas D. Nolin, PharmD, PhD
Assistant Professor,
Center for Clinical Pharmaceutical Sciences and Department of Pharmacy and Therapeutics
School of Pharmacy
and
Renal-Electrolyte Division
Department of Medicine
School of Medicine
University of Pittsburgh
Pittsburgh, PA

Juan Ochoa

Abhinetri Pandula, MD
Internal Medicine
Glens Falls Hospital

Neesh Pannu

Michael R. Pinsky

Claudio Ronco

Kai Singbartl

Kristine S. Schonder, PharmD
Assistant Professor
Department of Pharmacy and Therapeutics
School of Pharmacy
University of Pittsburgh
and
Clinical Pharmacist
Ambulatory Care and Transplant
Thomas E. Starzl Transplantation Institute
University of Pittsburgh Medical Center
Pittsburgh, PA

Nirav Shah

Shamik Shah

Aditya Uppalapati

Renal and Metabolic Disorders

John A. Kellum and Jorge Cerda

Pittsburgh Critical Care Medicine

Reviews and Awards

"This is a concise, easy-to-read introduction to a key organ system tied to ICU outcome. The authors have avoided the mathematical relationships that may intimidate some readers." -- DOODY'S