[Acute kidney injury - status of biomarkers in perioperative and critically ill patients]. / Akute Nierenschädigung - Stellenwert von Biomarkern bei perioperativen und intensivmedizinischen Patienten.

ABSTRACT

Acute kidney injury (AKI) impairs short- and long-term prognosis of affected patients even in case of apparantly mild course and 'full' recovery as measured by follow-up serum creatinine concentrations. Late or none intervention worsens prognosis. However, there are modifiable factors potentially contributing to preserved long-term renal function. Effective treatment is multifactorial and includes identification and reversal of AKI etiology and generation of a (micro)environment for optimal renal recovery. Available treatment options for AKI in perioperative and critically ill patients will be discussed in the setting of novel kidney biomarkers.