Defining acute renal failure: physiological principles

R Bellomo, JA Kellum, C Ronco - Intensive care medicine, 2004 - Springer
Intensive care medicine, 2004Springer
Definitions are never “right” or “wrong”. They are simply more or less “useful” for a given
purpose. The same is true of the clinical syndrome of acute renal failure (ARF), which is
common in the ICU [1, 2]. In many ways, its nature and epidemiology resemble those of
other loosely defined ICU syndromes, such as sepsis or ARDS. In this physiological note,
however, we wish to focus on how our understanding of renal physiology can be used to
guide the definition of ARF.
Definitions are never “right” or “wrong”. They are simply more or less “useful” for a given purpose. The same is true of the clinical syndrome of acute renal failure (ARF), which is common in the ICU [1, 2]. In many ways, its nature and epidemiology resemble those of other loosely defined ICU syndromes, such as sepsis or ARDS. In this physiological note, however, we wish to focus on how our understanding of renal physiology can be used to guide the definition of ARF.
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