“Dilutional Acidosis”

Though this is to some degree controversial, volume expansion with normal saline has been associated with the development of a hyperchloremic, non-anion gap metabolic acidosis.  What are the mechanisms associated with saline expansion-induced metabolic acidosis? The rationale for…

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Complications of Renal Biopsy

I’ve had to revise the renal biopsy complication rates that I’m quoting my patients after reading this review. – Technically, complications occur in 7.4% to 19.5% of patients. These mostly consist of self-limiting macroscopic hematuria or a peri-renal,…

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Renal Failure in the Neuro ICU

Here are a few important guidelines for prescribing RRT in the Neuro ICU gleaned from this review. First off, a recap of the physiology… Intracranial pressure increases are buffered by CSF, such that increased ICP leads to increased…

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