Renal Replacement Therapy in Austere Environments

Overview

Journal Int J Nephrol

Publisher Wiley

Specialty Nephrology

Date 2011 May 24

PMID 21603109

Citations 5

Authors

Christina M Yuan

Robert M Perkins

Affiliations

Soon will be listed here.

Abstract

Myoglobinuric renal failure is the classically described acute renal event occurring in disaster environments-commonly after an earthquake-which most tests the ingenuity and flexibility of local and regional nephrology resources. In recent decades, several nephrology organizations have developed response teams and planning protocols to address disaster events, largely focusing on patients at risk for, or with, acute kidney injury (AKI). In this paper we briefly review the epidemiology and outcomes of patients with dialysis-requiring AKI after such events, while providing greater focus on the management of the end-stage renal disease population after a disaster which incapacitates a pre-existing nephrologic infrastructure (if it existed at all). "Austere" dialysis, as such, is defined as the provision of renal replacement therapy in any setting in which traditional, first-world therapies and resources are limited, incapacitated, or nonexistent.

Citing Articles

Hemodialysis Machines Capable of Performing Isolated Ultrafiltration in the Absence of Adequate Water Supply Are Needed During Disasters.

Sekkarie M, Hiracham P, Soudan K, Rifai A Kidney Int Rep. 2021; 6(5):1480-1481.

PMID: 34013130 PMC: 8116769. DOI: 10.1016/j.ekir.2021.03.875.

Renal Failure Patients in Disasters.

Lempert K, Kopp J Disaster Med Public Health Prep. 2019; 13(4):782-790.

PMID: 31057134 PMC: 6897549. DOI: 10.1017/dmp.2018.142.

Peritoneal Dialysis in Austere Environments: An Emergent Approach to Renal Failure Management.

Gorbatkin C, Bass J, Finkelstein F, Gorbatkin S West J Emerg Med. 2018; 19(3):548-556.

PMID: 29760854 PMC: 5942023. DOI: 10.5811/westjem.2018.3.36762.

The syrian national kidney foundation: Response for the need of kidney patients during the crisis.

Al-Makki A, Rifai A, Murad L, Zanabli A, Kayal A, Soudan K Avicenna J Med. 2014; 4(3):54-7.

PMID: 24982825 PMC: 4065460. DOI: 10.4103/2231-0770.133331.

Peritoneal dialysis: the great savior during disasters.

Kumar V, Ramachandran R, Rathi M, Kohli H, Sakhuja V, Jha V Perit Dial Int. 2013; 33(3):327-9.

PMID: 23660608 PMC: 3649903. DOI: 10.3747/pdi.2012.00156.

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