Kidney, fluid, and acid-base balance

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Kidneys play an important role to maintain human homeostasis. They contribute to maintain body fluid, electrolytes, and acid-base balance. Especially in fluid control, we, physicians can intervene body fluid balance using fluid resuscitation and diuretics. In recent years, one type of fluid resuscitation, hydroxyl ethyl starch has been extensively studied in the field of intensive care. Although their effects on fluid resuscitation are reasonable, serious complications such as kidney injury requiring renal replacement therapy occur frequently. Now we have to pay more attention to this important complication. Another topic of fluid management is tolvaptan, a selective vasopressin-2 receptor antagonist Recent randomized trial suggested that tolvaptan has a similar supportive effect for fluid control and more cost effective compared to carperitide. In recent years, Stewart approach is recognized as one important tool to assess acid-base balance in critically ill patients. This approach has great value, especially to understand metabolic components in acid-base balance. Even for assessing the effects of kidneys on acid-base balance, this approach gives us interesting insight We should appropriately use this new approach to treat acid-base abnormality in critically ill patients.

Original languageEnglish
Pages (from-to)503-510
Number of pages8
JournalJapanese Journal of Anesthesiology
Volume65
Issue number5
Publication statusPublished - May 1 2016

Fingerprint

Acid-Base Equilibrium
Resuscitation
Kidney
Body Fluids
Critical Illness
Water-Electrolyte Balance
Renal Replacement Therapy
Cost Control
Critical Care
Diuretics
Starch
Hydroxyl Radical
Electrolytes
Homeostasis
Physicians
Acids
Wounds and Injuries
tolvaptan

Keywords

  • Acid-base balance
  • Fluid
  • Kidney
  • Stewart approach

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Kidney, fluid, and acid-base balance. / Shioji, Naohiro; Hayashi, Masao; Morimatsu, Hiroshi.

In: Japanese Journal of Anesthesiology, Vol. 65, No. 5, 01.05.2016, p. 503-510.

Research output: Contribution to journalArticle

@article{2f1407e7d133431a96d9ed9095a52fb7,
title = "Kidney, fluid, and acid-base balance",
abstract = "Kidneys play an important role to maintain human homeostasis. They contribute to maintain body fluid, electrolytes, and acid-base balance. Especially in fluid control, we, physicians can intervene body fluid balance using fluid resuscitation and diuretics. In recent years, one type of fluid resuscitation, hydroxyl ethyl starch has been extensively studied in the field of intensive care. Although their effects on fluid resuscitation are reasonable, serious complications such as kidney injury requiring renal replacement therapy occur frequently. Now we have to pay more attention to this important complication. Another topic of fluid management is tolvaptan, a selective vasopressin-2 receptor antagonist Recent randomized trial suggested that tolvaptan has a similar supportive effect for fluid control and more cost effective compared to carperitide. In recent years, Stewart approach is recognized as one important tool to assess acid-base balance in critically ill patients. This approach has great value, especially to understand metabolic components in acid-base balance. Even for assessing the effects of kidneys on acid-base balance, this approach gives us interesting insight We should appropriately use this new approach to treat acid-base abnormality in critically ill patients.",
keywords = "Acid-base balance, Fluid, Kidney, Stewart approach",
author = "Naohiro Shioji and Masao Hayashi and Hiroshi Morimatsu",
year = "2016",
month = "5",
day = "1",
language = "English",
volume = "65",
pages = "503--510",
journal = "Japanese Journal of Anesthesiology",
issn = "0021-4892",
publisher = "Kokuseido Publishing Co. Ltd",
number = "5",

}

TY - JOUR

T1 - Kidney, fluid, and acid-base balance

AU - Shioji, Naohiro

AU - Hayashi, Masao

AU - Morimatsu, Hiroshi

PY - 2016/5/1

Y1 - 2016/5/1

N2 - Kidneys play an important role to maintain human homeostasis. They contribute to maintain body fluid, electrolytes, and acid-base balance. Especially in fluid control, we, physicians can intervene body fluid balance using fluid resuscitation and diuretics. In recent years, one type of fluid resuscitation, hydroxyl ethyl starch has been extensively studied in the field of intensive care. Although their effects on fluid resuscitation are reasonable, serious complications such as kidney injury requiring renal replacement therapy occur frequently. Now we have to pay more attention to this important complication. Another topic of fluid management is tolvaptan, a selective vasopressin-2 receptor antagonist Recent randomized trial suggested that tolvaptan has a similar supportive effect for fluid control and more cost effective compared to carperitide. In recent years, Stewart approach is recognized as one important tool to assess acid-base balance in critically ill patients. This approach has great value, especially to understand metabolic components in acid-base balance. Even for assessing the effects of kidneys on acid-base balance, this approach gives us interesting insight We should appropriately use this new approach to treat acid-base abnormality in critically ill patients.

AB - Kidneys play an important role to maintain human homeostasis. They contribute to maintain body fluid, electrolytes, and acid-base balance. Especially in fluid control, we, physicians can intervene body fluid balance using fluid resuscitation and diuretics. In recent years, one type of fluid resuscitation, hydroxyl ethyl starch has been extensively studied in the field of intensive care. Although their effects on fluid resuscitation are reasonable, serious complications such as kidney injury requiring renal replacement therapy occur frequently. Now we have to pay more attention to this important complication. Another topic of fluid management is tolvaptan, a selective vasopressin-2 receptor antagonist Recent randomized trial suggested that tolvaptan has a similar supportive effect for fluid control and more cost effective compared to carperitide. In recent years, Stewart approach is recognized as one important tool to assess acid-base balance in critically ill patients. This approach has great value, especially to understand metabolic components in acid-base balance. Even for assessing the effects of kidneys on acid-base balance, this approach gives us interesting insight We should appropriately use this new approach to treat acid-base abnormality in critically ill patients.

KW - Acid-base balance

KW - Fluid

KW - Kidney

KW - Stewart approach

UR - http://www.scopus.com/inward/record.url?scp=84973878625&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84973878625&partnerID=8YFLogxK

M3 - Article

C2 - 27319095

AN - SCOPUS:84973878625

VL - 65

SP - 503

EP - 510

JO - Japanese Journal of Anesthesiology

JF - Japanese Journal of Anesthesiology

SN - 0021-4892

IS - 5

ER -