BACKGROUND Little is known about whether health care providers (physicians) implement preventive care for contrast-induced acute kidney injury (CIAKI). The objectives of our prospective cohort study were (1) to assess provider use of preventive strategies for CIAKI, (2) to determine the incidence of CIAKI, and (3) to examine the association of CIAKI with adverse outcomes at 30 days, including d...

A retrospective review of cases seen in the Diarrhea Treatment and Training Unit (DTU) of Bangalore (India) Medical College's Vani Vilas Children's Hospital during 1992-1994 confirmed the efficacy of the standard case management approach. This strategy entails oral rehydration therapy (ORT), continued feeding, and selective use of intravenous fluids and antibiotics. Of the 7966 children (4374...

BACKGROUND Cardiac surgery is a major consumer of blood products, and hemodilution increases transfusion requirements during cardiac surgery under CPB. As intraoperative parenteral fluids contribute to hemodilution, we evaluated the hypothesis that intraoperative fluid restriction reduces packed red-cell (PRC) use, especially in transfusion-prone adults undergoing elective cardiac surgery. ME...

BACKGROUND Amphotericin B is the preferred treatment for cryptococcal meningitis, but it has cumulative severe side effects, including nephrotoxicity, hypokalemia, and hypomagnesemia. Amphotericin-induced severe hypokalemia may predispose the patient to cardiac arrhythmias and death, and there is very little data available regarding these toxicities in resource-limited settings. We hypothesized...

DESCRIPTION Intravenous solutions with heparin sodium (derived from porcine intestinal mucosa) are sterile, nonpyrogenic fluids for intravenous administration. Each 100 mL contains heparin sodium 4,000 or 5,000 USP Heparin Units; dextrose, hydrous 5 g; citric acid, anhydrous 51 mg and dibasic sodium phosphate, anhydrous 103 mg added as buffers; sodium metabisulfite added, 20 mg as an antioxidan...

OBJECTIVE To undertake a prospective randomised controlled study to investigate whether there is any beneficial renal effect in the perioperative administration of mannitol in patients undergoing orthotopic liver transplantation. METHODS Patients presenting in end-stage liver failure for orthotopic liver transplantation had their preoperative renal function assessed by 24 hour urinary creatin...

Glucose solutions given by intravenous (i.v.) infusion exert volume effects that are governed by the amount of fluid administered and also by the metabolism of the glucose. To understand better how the body handles glucose solutions, two volume kinetic models were developed in which consideration was given to the osmotic fluid shifts that accompany the metabolism of glucose. These models were f...

STUDY OBJECTIVE The study objective was to determine whether intravenous contrast administration for computed tomography (CT) is independently associated with increased risk for acute kidney injury and adverse clinical outcomes. METHODS This single-center retrospective cohort analysis was performed in a large, urban, academic emergency department with an average census of 62,179 visits per ye...

We present the case of a 32-year-old patient with known history Gitelman syndrome who presented hypokalemia and hypomagnesemia. The was treated supplemental potassium, magnesium intravenous fluids in ED. required hospital admission for further electrolyte correction. An awaremess is important emergency physician. Some patients have Syndrome. In such cases, it imperative to be aware what abnorma...

The hospital is a health facility that provides diagnostic and therapeutic services to patients for various diseases mental problems, both surgical non-surgical. It place get healing an illness suffered. At present medical devices need attention the right results when treating patients, of course, increasing technological sophistication. One common procedures performed on administer drugs via i...