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• W2112432042 endingPage "105" @default.
• W2112432042 startingPage "90" @default.
• W2112432042 abstract "To conduct a systematic literature review to evaluate evidence-based recommendations for the prevention of rhabdomyolysis-associated acute renal failure (ARF).PubMed (1966-December 2012), International Pharmaceutical Abstracts, Science Citation Index, and Cochrane databases (1970-December 2012) were searched. There were no language restrictions.Studies selected dealt with treatment of rhabdomyolysis (crush syndrome) or prevention of ARF in patients with rhabdomyolysis. Articles excluded did not present original data or described only the management of ARF after it developed. Single case reports were excluded. Extracted data included study type; population; definitions of rhabdomyolysis and ARF; fluid, sodium bicarbonate, and mannitol dosages; and study findings.Twenty-seven studies met the inclusion criteria. No controlled trials compared intravenous fluid administration plus sodium bicarbonate to fluid administration alone. Three concluded that there was no significant difference in the rates of ARF between patients receiving and those not receiving sodium bicarbonate; however, urine alkalinization was not documented. Eight investigations concluded that delayed fluid administration increased the risk of ARF. No controlled study compared volumes of fluid administered or targeted urine output goals. Fluid type, therapy duration, and monitoring parameters varied widely; 4 used a urine output goal in adults of more than 300 mL/h or 300 mL/h or more. No evidence supported a preferred fluid type or that sodium bicarbonate with or without mannitol was superior to fluid therapy alone.Intravenous fluids should be initiated as soon as possible, preferably within the first 6 hours after muscle injury, at a rate that maintains a urine output in adults of 300 mL/h or more for at least the first 24 hours. Sodium bicarbonate should be administered only if necessary to correct systemic acidosis and mannitol only to maintain urine output of 300 mL/h or more despite adequate fluid administration." @default.
• W2112432042 created "2016-06-24" @default.
• W2112432042 creator A5018944805 @default.
• W2112432042 creator A5027341272 @default.
• W2112432042 date "2013-01-01" @default.
• W2112432042 modified "2023-10-02" @default.
• W2112432042 title "Prevention of Kidney Injury Following Rhabdomyolysis: A Systematic Review" @default.
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• W2112432042 doi "https://doi.org/10.1345/aph.1r215" @default.
• W2112432042 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/23324509" @default.
• W2112432042 hasPublicationYear "2013" @default.
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