2013
DOI: 10.1345/aph.1r215
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Prevention of Kidney Injury Following Rhabdomyolysis: A Systematic Review

Abstract: Intravenous fluids should be initiated as soon as possible, preferably within the first 6 hours after muscle injury, at a rate that maintains a urine output in adults of 300 mL/h or more for at least the first 24 hours. Sodium bicarbonate should be administered only if necessary to correct systemic acidosis and mannitol only to maintain urine output of 300 mL/h or more despite adequate fluid administration.

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Cited by 113 publications
(94 citation statements)
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References 67 publications
(133 reference statements)
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“…In the special condition of rhabdomyolysis-related AKI, fluid vascular loading requirements seem to be established [160][161][162], but the nature of the fluid remains in discussion. Theoretical benefits for using sodium bicarbonate are described (inhibition of intrarenal vasoconstriction, inhibition of lipid peroxidation and decreases in myoglobin crystallization with Tamm-Horsfall protein).…”
Section: Rationalementioning
confidence: 99%
“…In the special condition of rhabdomyolysis-related AKI, fluid vascular loading requirements seem to be established [160][161][162], but the nature of the fluid remains in discussion. Theoretical benefits for using sodium bicarbonate are described (inhibition of intrarenal vasoconstriction, inhibition of lipid peroxidation and decreases in myoglobin crystallization with Tamm-Horsfall protein).…”
Section: Rationalementioning
confidence: 99%
“…Intense rehydration as soon as possible and forced alkaline diuresis are also an integral part of the management. In some cases, hemodialysis must be done if needed (3,14,15).…”
Section: Türk Nefroloji Diyaliz Ve Transplantasyon Dergisi Turkish Nementioning
confidence: 99%
“…However, the efficacy of this intervention has not been evaluated in randomised trials and routine use is not recommended (17). When performed, urinary alkalinisation should begin once diuresis is underway and should be discontinued if the urine pH does not increase > 6.5 after six hours of infusion or if the arterial pH exceeds 7.5 (5, 18).…”
Section: Treatment and Follow-upmentioning
confidence: 99%