Conclusions

The management of ARF is multifaceted. It involves prevention of renal injury by adequate and closely monitored fluid resuscitation, maintenance of cardiac output and near-normal blood pressure, and avoidance of nephrotoxins. It requires prevention of all the metabolic complications associated with the uremic state and the early initiation of adequate biocompatible renal replacement therapy. Such therapy should preferably be continuous. Finally, in the presence of ARF it is mandatory to pay close attention to all hemodynamic, dyalitic, metabolic, and pharmacological details to ensure the recovery of the organ and the patient.

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