An intensivist on a learning frenzy. Caring for the critically ill using evidence-based medicine.
Does IV contrast provided to hospitalized patients really cause contrast-induced nephropathy (CIN) and lead to acute kidney injury (AKI)? This is quite the controversial discussion at the moment (this was published on 02/24/23). Therefore, I have created this page to compile evidence on the topic. None of this is medical advice. Solely a review on …
Continue reading Contrast-Induced Nephropathy (CIN) & Acute Kidney Injury (AKI)
Every possible option to decreased morbidity, mortality, and costs are worth looking at in my book. The study that I am reviewing at this moment was published in 2017. I am ashamed that I had not run into it until today (10/19/19). It's challenging to stay up to date in everything. I digress. It is …
Continue reading Thiamine and Renal Failure in Septic Shock Patients
People worry about the potassium levels in Lactated Ringer's (Ringers Lactate), but what if I told you there's more hyperkalemia with saline? 0.9% saline is 154mmol/L of sodium and 154mmol/L of chloride. That's it. There's no potassium, calcium, magnesium, or buffering agent. Ringer's lactate, however, has 130mmol/L of sodium, 109mmol/L of chloride, 4mmol/L of potassium, …
Continue reading 0.9% NaCl vs. Ringer’s Lactate: Which Increases Potassium?