Open AccessWhen to correct coagulopathy in acute kidney injury?
Author(s) -
Manpreet Kaur,
Babita Gupta,
Nita D’souza,
Seema Shende
Publication year - 2012
Publication title -
al-banǧ. maqālāt wa abḥāṯ fī al-taẖdīr wa-al-in’āš
Language(s) - English
Resource type - Journals
ISSN - 0259-1162
DOI - 10.4103/0259-1162.108355
Subject(s) - medicine , coagulopathy , acute kidney injury , polytrauma , hyperkalemia , renal replacement therapy , intensive care medicine , bleed , surgery
Incidence of acute kidney injury (AKI) in adult trauma patients is 18% with 70% requiring renal replacement therapy. It is a challenge to treat AKI with coagulopathy since there are no defined transfusion triggers for these patients. We report a case wherein a polytrauma patient developed AKI for which he/she was dialysed and subsequently had an intracerebral bleed. There is a need to develop guidelines to transfusion triggers in AKI patients keeping vigilance on fluid overload, hyperkalemia and uraemia-induced platelet dysfunction.