Intensive Care Research

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Volume 1, Issue 3-4, December 2021, Pages 51 - 53

Post-Intubation Empirical Fluid Resuscitation as an Early Step to Prevent Acute Kidney Injury in Mechanically Ventilated COVID-19 Patient

Authors
Amarjeet Kumar1, Ajeet Kumar2, *, Chandni Sinha2, Prabhat Kumar Singh3, Chethan Vamshi2, Gayatri D. Sagdeo2
1Department of Trauma and Emergency, All India Institute of Medical Sciences, Room no 505, B-Block, OT Complex, Patna, India
2Department of Anaesthesiology, All India Institute of Medical Sciences, Room no 502, B-Block, OT Complex, Patna, India
3All India Institute of Medical Sciences, Patna, India
*Corresponding author. Email: ajeetanaes@gmail.com
Corresponding Author
Ajeet Kumar
Received 21 May 2021, Accepted 11 October 2021, Available Online 21 October 2021.
DOI
10.2991/icres.k.211006.001How to use a DOI?
Keywords
Acute kidney injuries; COVID-19; fluid resuscitation; mechanical ventilation
Abstract

Acute Kidney Injury (AKI) is one of the major complication of the Coronavirus Disease 2019 (COVID-19) infection, commonly manifested during the second week of infection. The pathophysiology and mechanisms of AKI in patients with COVID-19 have not been fully elucidated and seem to be multifactorial. There is currently no common consensus regarding the optimal amount of fluid resuscitation specifically for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-infected patients in shock. There is paucity of knowledge regarding prevention of post-intubation hypotension and oliguria in COVID-19 patients. We suggest fluid resuscitation by 1 L of crystalloid immediately following endotracheal intubation of adult COVID ARDS patients to compensate vasodilation and improve renal perfusion. Conservative fluid strategies should be followed in patient having history of congestive heart failure, chronic kidney disease, adrenal insufficiency and in patient who have already developed AKI with oliguric phase.

Copyright
© 2021 First Affiliated Hospital of Zhengzhou University. Publishing services by Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

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<Previous Article In Issue
Next Article In Issue>
Journal
Intensive Care Research
Volume-Issue
1 - 3-4
Pages
51 - 53
Publication Date
2021/10/21
ISSN (Online)
2666-9862
DOI
10.2991/icres.k.211006.001How to use a DOI?
Copyright
© 2021 First Affiliated Hospital of Zhengzhou University. Publishing services by Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

Cite this article

risenwbib
TY  - JOUR
AU  - Amarjeet Kumar
AU  - Ajeet Kumar
AU  - Chandni Sinha
AU  - Prabhat Kumar Singh
AU  - Chethan Vamshi
AU  - Gayatri D. Sagdeo
PY  - 2021
DA  - 2021/10/21
TI  - Post-Intubation Empirical Fluid Resuscitation as an Early Step to Prevent Acute Kidney Injury in Mechanically Ventilated COVID-19 Patient
JO  - Intensive Care Research
SP  - 51
EP  - 53
VL  - 1
IS  - 3-4
SN  - 2666-9862
UR  - https://doi.org/10.2991/icres.k.211006.001
DO  - 10.2991/icres.k.211006.001
ID  - Kumar2021
ER  -