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Editorial
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Volume 359:82-84 July 3, 2008 Number 1
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Dialysis in Acute Kidney Injury — More Is Not Better
Joseph V. Bonventre, M.D., Ph.D.

Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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 by The VA/NIH Acute Renal Failure Trial Network
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Acute kidney injury is associated with morbidity and mortality rates of more than 50% in critically ill patients, despite the potential for recovery of renal function and many advances in medical management.1 To manage the care of patients with acute kidney injury, we must optimize their hemodynamic and volume status, correct metabolic abnormalities, provide adequate nutrition, and minimize progression of injury. Dialysis is often required, and critical factors to consider when designing a dialysis strategy for patients with acute kidney injury are determining the extent of dialysis and fluid removal, determining when to start dialysis, and selecting the most appropriate . . . [Full Text of this Article]


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From the Renal Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston.

This article (10.1056/NEJMe0803765) was published at www.nejm.org on May 20, 2008.


Related Letters:

Renal Support in Critically Ill Patients with Acute Kidney Injury
Ronco C., Honoré P., Bouchard J., Macedo E., Mehta R. L., Maynar-Moliner J., Sanchez-Izquierdo-Riera J. A., Herrera-Gutierrez M., Bagshaw S. M., Gibney N., Uchino S., Bell M., Bellomo R., Palevsky P. M., Zhang J. H., O'Connor T. Z., Bonventre J. V.
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N Engl J Med 2008; 359:1959-1962, Oct 30, 2008. Correspondence

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