Li et al identified risk factors associated with development of acute renal failure in a patient with severe acute pancreatitis. These can help to identify a patient who may benefit from more aggressive management. The authors are from Hunan Provincial People's Hospital, Xiangya Hospital, and Central South University in Changsha, China.


Patient selection: severe acute pancreatitis


Factors associated with development of acute renal failure:

(1) history of pre-existing renal disease

(2) hypoxemia

(3) abdominal compartment syndrome


Steps to prevent acute renal failure:

(1) decompress abdomen to avoid elevated intra-abdominal pressuers

(2) maintain adequate perfusion of the kidneys

(3) provide adequate arterial oxygenation

(4) treat any underyling kidney disease


To read more or access our algorithms and calculators, please log in or register.