Renal Replacement Therapy in Austere Environments
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 res...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | International Journal of Nephrology |
| Online Access: | http://dx.doi.org/10.4061/2011/748053 |
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| author | Christina M. Yuan Robert M. Perkins |
| author_facet | Christina M. Yuan Robert M. Perkins |
| author_sort | Christina M. Yuan |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-83ad4fc06818455786de8035f6736da5 |
| institution | OA Journals |
| issn | 2090-214X 2090-2158 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Nephrology |
| spelling | doaj-art-83ad4fc06818455786de8035f6736da52025-08-20T02:09:07ZengWileyInternational Journal of Nephrology2090-214X2090-21582011-01-01201110.4061/2011/748053748053Renal Replacement Therapy in Austere EnvironmentsChristina M. Yuan0Robert M. Perkins1Nephrology Service, Department of Medicine, Walter Reed Army Medical Center, 6900 Georgia Avenue Northwest, Washington, DC 20012, USADepartment of Nephrology, Center for Health Research, Geisinger Medical Center, MC 44-00, 100 North Academy Avenue, Danville, PA 17822, USAMyoglobinuric 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.http://dx.doi.org/10.4061/2011/748053 |
| spellingShingle | Christina M. Yuan Robert M. Perkins Renal Replacement Therapy in Austere Environments International Journal of Nephrology |
| title | Renal Replacement Therapy in Austere Environments |
| title_full | Renal Replacement Therapy in Austere Environments |
| title_fullStr | Renal Replacement Therapy in Austere Environments |
| title_full_unstemmed | Renal Replacement Therapy in Austere Environments |
| title_short | Renal Replacement Therapy in Austere Environments |
| title_sort | renal replacement therapy in austere environments |
| url | http://dx.doi.org/10.4061/2011/748053 |
| work_keys_str_mv | AT christinamyuan renalreplacementtherapyinaustereenvironments AT robertmperkins renalreplacementtherapyinaustereenvironments |