Location of Repository

Contemporary management of acute kidney trauma

By Inês Anselmo da Costa, Bastian Amend, Arnulf Stenzl and Jens Bedke

Abstract

Renal injury occurs in 1%–5% of all traumas, causing disability or even death. The American Association for the Surgery of Trauma (AAST) renal injury scale should be used when injuries are reported. Although there is a consensus regarding handling of lower-grade injuries conservatively, the same cannot be said for the higher-grades, for which different specialists handle either conservatively or surgically. A search of the MEDLINE database was undertaken by using the following filters: English language articles, full-text availability, last five years, humans. Pediatric studies were excluded. For most renal injuries in hemodynamically stable, patients can be safely handled conservatively. An organized assessment and treatment system can reduce the need for nephrectomy in most other cases, as has occurred in the last two decades. The AAST injury scale should be updated in light of the advancements in imaging techniques, in order to fine tune grading and treatment

Topics: Kidney, Trauma, AAST classification, Management, Injury, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Publisher: Elsevier
Year: 2016
DOI identifier: 10.1016/j.joad.2015.08.003
OAI identifier: oai:doaj.org/article:719ec445204344a5b82b7a9786456c26
Journal:
Download PDF:
Sorry, we are unable to provide the full text but you may find it at the following location(s):
  • https://doaj.org/toc/2221-6189 (external link)
  • http://www.sciencedirect.com/s... (external link)
  • https://doaj.org/article/719ec... (external link)
  • Suggested articles


    To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.