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Lung-kidney interactions in critically ill patients : consensus report of the Acute Disease Quality Initiative (ADQI) 21 Workgroup

(2020) INTENSIVE CARE MEDICINE. 46(4). p.654-672
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Abstract
Background Multi-organ dysfunction in critical illness is common and frequently involves the lungs and kidneys, often requiring organ support such as invasive mechanical ventilation (IMV), renal replacement therapy (RRT) and/or extracorporeal membrane oxygenation (ECMO). Methods A consensus conference on the spectrum of lung-kidney interactions in critical illness was held under the auspices of the Acute Disease Quality Initiative (ADQI) in Innsbruck, Austria, in June 2018. Through review and critical appraisal of the available evidence, the current state of research, and both clinical and research recommendations were described on the following topics: epidemiology, pathophysiology and strategies to mitigate pulmonary dysfunction among patients with acute kidney injury and/or kidney dysfunction among patients with acute respiratory failure/acute respiratory distress syndrome. Furthermore, emphasis was put on patients receiving organ support (RRT, IMV and/or ECMO) and its impact on lung and kidney function. Conclusion The ADQI 21 conference found significant knowledge gaps about organ crosstalk between lung and kidney and its relevance for critically ill patients. Lung protective ventilation, conservative fluid management and early recognition and treatment of pulmonary infections were the only clinical recommendations with higher quality of evidence. Recommendations for research were formulated, targeting lung-kidney interactions to improve care processes and outcomes in critical illness.
Keywords
Acute kidney injury, Acute respiratory distress syndrome, Extracorporeal membrane oxygenation, Renal replacement therapy, Water-electrolyte balance, EXTRACORPOREAL MEMBRANE-OXYGENATION, RESPIRATORY-DISTRESS-SYNDROME, POSITIVE-PRESSURE VENTILATION, OBSTRUCTIVE PULMONARY-DISEASE, END-EXPIRATORY PRESSURE, ACUTE-RENAL-FAILURE, MECHANICAL VENTILATION, HYPOPROTEINEMIC PATIENTS, COMPLEMENT ACTIVATION, PEEP VENTILATION

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MLA
Joannidis, Michael, et al. “Lung-Kidney Interactions in Critically Ill Patients : Consensus Report of the Acute Disease Quality Initiative (ADQI) 21 Workgroup.” INTENSIVE CARE MEDICINE, vol. 46, no. 4, 2020, pp. 654–72, doi:10.1007/s00134-019-05869-7.
APA
Joannidis, M., Forni, L. G., Klein, S. J., Honore, P. M., Kashani, K., Ostermann, M., … Kellum, J. A. (2020). Lung-kidney interactions in critically ill patients : consensus report of the Acute Disease Quality Initiative (ADQI) 21 Workgroup. INTENSIVE CARE MEDICINE, 46(4), 654–672. https://doi.org/10.1007/s00134-019-05869-7
Chicago author-date
Joannidis, Michael, Lui G Forni, Sebastian J Klein, Patrick M Honore, Kianoush Kashani, Marlies Ostermann, John Prowle, et al. 2020. “Lung-Kidney Interactions in Critically Ill Patients : Consensus Report of the Acute Disease Quality Initiative (ADQI) 21 Workgroup.” INTENSIVE CARE MEDICINE 46 (4): 654–72. https://doi.org/10.1007/s00134-019-05869-7.
Chicago author-date (all authors)
Joannidis, Michael, Lui G Forni, Sebastian J Klein, Patrick M Honore, Kianoush Kashani, Marlies Ostermann, John Prowle, Sean M Bagshaw, Vincenzo Cantaluppi, Michael Darmon, Xiaoqiang Ding, Valentin Fuhrmann, Eric Hoste, Faeq Husain-Syed, Matthias Lubnow, Marco Maggiorini, Melanie Meersch, Patrick T Murray, Zaccaria Ricci, Kai Singbartl, Thomas Staudinger, Tobias Welte, Claudio Ronco, and John A Kellum. 2020. “Lung-Kidney Interactions in Critically Ill Patients : Consensus Report of the Acute Disease Quality Initiative (ADQI) 21 Workgroup.” INTENSIVE CARE MEDICINE 46 (4): 654–672. doi:10.1007/s00134-019-05869-7.
Vancouver
1.
Joannidis M, Forni LG, Klein SJ, Honore PM, Kashani K, Ostermann M, et al. Lung-kidney interactions in critically ill patients : consensus report of the Acute Disease Quality Initiative (ADQI) 21 Workgroup. INTENSIVE CARE MEDICINE. 2020;46(4):654–72.
IEEE
[1]
M. Joannidis et al., “Lung-kidney interactions in critically ill patients : consensus report of the Acute Disease Quality Initiative (ADQI) 21 Workgroup,” INTENSIVE CARE MEDICINE, vol. 46, no. 4, pp. 654–672, 2020.
@article{8640613,
  abstract     = {Background Multi-organ dysfunction in critical illness is common and frequently involves the lungs and kidneys, often requiring organ support such as invasive mechanical ventilation (IMV), renal replacement therapy (RRT) and/or extracorporeal membrane oxygenation (ECMO). Methods A consensus conference on the spectrum of lung-kidney interactions in critical illness was held under the auspices of the Acute Disease Quality Initiative (ADQI) in Innsbruck, Austria, in June 2018. Through review and critical appraisal of the available evidence, the current state of research, and both clinical and research recommendations were described on the following topics: epidemiology, pathophysiology and strategies to mitigate pulmonary dysfunction among patients with acute kidney injury and/or kidney dysfunction among patients with acute respiratory failure/acute respiratory distress syndrome. Furthermore, emphasis was put on patients receiving organ support (RRT, IMV and/or ECMO) and its impact on lung and kidney function. Conclusion The ADQI 21 conference found significant knowledge gaps about organ crosstalk between lung and kidney and its relevance for critically ill patients. Lung protective ventilation, conservative fluid management and early recognition and treatment of pulmonary infections were the only clinical recommendations with higher quality of evidence. Recommendations for research were formulated, targeting lung-kidney interactions to improve care processes and outcomes in critical illness.},
  author       = {Joannidis, Michael and Forni, Lui G and Klein, Sebastian J and Honore, Patrick M and Kashani, Kianoush and Ostermann, Marlies and Prowle, John and Bagshaw, Sean M and Cantaluppi, Vincenzo and Darmon, Michael and Ding, Xiaoqiang and Fuhrmann, Valentin and Hoste, Eric and Husain-Syed, Faeq and Lubnow, Matthias and Maggiorini, Marco and Meersch, Melanie and Murray, Patrick T and Ricci, Zaccaria and Singbartl, Kai and Staudinger, Thomas and Welte, Tobias and Ronco, Claudio and Kellum, John A},
  issn         = {0342-4642},
  journal      = {INTENSIVE CARE MEDICINE},
  keywords     = {Acute kidney injury,Acute respiratory distress syndrome,Extracorporeal membrane oxygenation,Renal replacement therapy,Water-electrolyte balance,EXTRACORPOREAL MEMBRANE-OXYGENATION,RESPIRATORY-DISTRESS-SYNDROME,POSITIVE-PRESSURE VENTILATION,OBSTRUCTIVE PULMONARY-DISEASE,END-EXPIRATORY PRESSURE,ACUTE-RENAL-FAILURE,MECHANICAL VENTILATION,HYPOPROTEINEMIC PATIENTS,COMPLEMENT ACTIVATION,PEEP VENTILATION},
  language     = {eng},
  number       = {4},
  pages        = {654--672},
  title        = {Lung-kidney interactions in critically ill patients : consensus report of the Acute Disease Quality Initiative (ADQI) 21 Workgroup},
  url          = {http://dx.doi.org/10.1007/s00134-019-05869-7},
  volume       = {46},
  year         = {2020},
}

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