Sodium bicarbonate infusion for prevention of acute kidney injury: no evidence for superior benefit, but risk for harm?

Abstract:

:The best "treatment" of acute kidney injury (AKI) is prevention. Patients who are at high risk of AKI should have an assessment of their volume status and receive appropriate volume expansion. The most effective type of intravenous fluid remains unclear. Innumerable studies have compared sodium bicarbonate and isotonic saline and have combined fluid hydration with pharmacological interventions, particularly N-acetyl-cysteine. However, abundant systematic reviews and meta-analyses have provided conflicting conclusions and have recognized a significant degree of heterogeneity between studies and publication bias. Most studies comparing intravenous sodium bicarbonate and saline were small. They often enrolled patients with a low risk for AKI, yielding low serious events (renal replacement therapy), and used different protocols for administration of fluids. Based on current literature, intravenous sodium bicarbonate does not seem to be more efficient than saline for the prevention of contrast-media-induced AKI, cardiac surgery-associated AKI, pigment nephropathy or septic AKI. However, some cohort studies or prospective randomized trials did track and report serious adverse events, such as higher rates of AKI or higher in-hospital mortality. At present, it should be concluded that the use of intravenous sodium bicarbonate administration to prevent AKI should be evaluated further in multicenter randomized double-blind trials rather than adopted into routine clinical practice.

journal_name

Int Urol Nephrol

authors

Schiffl H

doi

10.1007/s11255-014-0820-0

subject

Has Abstract

pub_date

2015-02-01 00:00:00

pages

321-6

issue

2

eissn

0301-1623

issn

1573-2584

journal_volume

47

pub_type

社论,评审
  • Efficacy of tegafur-uracil (UFT) administration in castration-resistant prostate cancer patients with a history of both alternative antiandrogen therapy and estramustine phosphate sodium hydrate therapy.

    abstract:PURPOSE:The purpose of this study was to evaluate the efficacy of tegafur-uracil (UFT) administration as a fourth-line therapy in patients with castration-resistant prostate cancer (CRPC) who had already received combined androgen blockade (CAB) therapy (first-line), alternative antiandrogen therapy (second-line), and ...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-013-0634-5

    authors: Hayakawa N,Matsumoto K,Sato A,Sakamoto H,Ezaki T,Maeda T,Ninomiya A,Nakamura S

    更新日期:2014-06-01 00:00:00

  • Ureteral fibroma: an unusual clinical symptomatology.

    abstract::The authors describe a case of ureteral fibroma. The aetiology, clinical symptomatology and diagnosis are discussed, and differentiation between benign and malignant lesions is emphasized. ...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/BF02552113

    authors: Sarica K,Frick J,Doringer E,Chandra I

    更新日期:1992-01-01 00:00:00

  • Prospective randomized comparison of intravesical BCG therapy with standard dose versus low doses in superficial bladder cancer.

    abstract::In this study, we evaluated low dose intravesical bacillus Calmette-Guerin (BCG) therapy following transurethral resection (TUR) in 80 patients with superficial bladder cancer. The patients were divided into two groups. Of the Connaught BCG strain 81 mg was given to 40 patients in Group 1 and 54 mg to the remainder of...

    journal_title:International urology and nephrology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/BF02550276

    authors: Yalçinkaya F,Kamiş L,Ozteke O,Günlüsoy B,Yigitbaşi O,Unal S

    更新日期:1998-01-01 00:00:00

  • Smoke load prognostic impact on bacillus Calmette-Guérin (BCG) treated non-muscle invasive bladder cancer.

    abstract:PURPOSE:Smoking habit is the major risk factor for bladder cancer (BC), related to about 50% of these tumors; however, the tobacco dose-effect impact on BC immune treatment is underexplored. This study evaluates the impact of smoke load on non-muscle invasive bladder cancer (NMIBC) prognosis after intravesical BCG. ME...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-020-02438-6

    authors: Andrade DL,Moretti TBC,Neto WA,Benedetti J,Reis LO

    更新日期:2020-08-01 00:00:00

  • Effects of small molecules water that may retard kidney stone formation.

    abstract:PURPOSE:Water intake is important for preventing kidney stones. Small molecules water is a more active restructured water under magnetic field. Here, we studied the relation between small molecules water and crystal formation in the rat kidney. MATERIALS:The small molecules water was prepared by a water machine provid...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-017-1769-6

    authors: Li Y,Pan J,Zhang Y,Chang Y,Yang X,Yang B,Mao X,Wang Z,Gao B,Lu X

    更新日期:2018-02-01 00:00:00

  • Application of amniotic membrane as xenograft for urethroplasty in rabbit.

    abstract:OBJECTIVES:Uroepithelium repair has always been the subject of discussion in urology surgeries. Using human amniotic membrane allograft has already proved to be useful in other fields. In this study, we use amniotic membrane to repair uroepithelium injuries in rabbits. METHODS:Twenty healthy rabbits underwent surgery ...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-009-9532-2

    authors: Shakeri S,Haghpanah A,Khezri A,Yazdani M,Monabbati A,Haghpanah S,Malekmakan L,Ayrempour S

    更新日期:2009-12-01 00:00:00

  • Humoral immunity to streptococcal antigen in acute and chronic glomerulonephritis.

    abstract::A study was carried out to verify the clinical usefulness of the elaborated method for the measurement of antistreptococcal antibody in revealing the streptococcal etiology of glomerulonephritis. In 158 patients with glomerulonephritis antistreptococcal antibody (ASA), circulating immune complexes (CIC) and haemolytic...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/BF02082387

    authors: Krzymański M,Falkiewicz K,Kopeć W,Baczyk K,Szewczyk Z

    更新日期:1982-01-01 00:00:00

  • Intraoperative ultrasound: technique and clinical experience in robotic-assisted renal partial nephrectomy for endophytic renal tumors.

    abstract:OBJECTIVES:Surgical removal of completely endophytic renal tumors has presented great technical difficulties for surgeons. In this study, we aim to introduce the role and use of intraoperative ultrasound (IOUS) performed in robotic-assisted renal partial nephrectomy (RAPN) for endophytic renal tumors. METHODS:We retro...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-020-02664-y

    authors: Sun Y,Wang W,Zhang Q,Zhao X,Xu L,Guo H

    更新日期:2020-10-01 00:00:00

  • Surgical management of bilateral ureteral endometriosis.

    abstract::Ureteral endometriosis is a rare disease that typically is unilateral. Endometriosis involving both ureters and surgical management after hormone therapy failure has seldom been described. We describe a patient with bilateral ureteral endometriosis who underwent ureteroneocystostomy with psoas hitches of both ureters....

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-006-0101-7

    authors: Yee DS,Shanberg AM,Ngo AT,Baghdassarian R

    更新日期:2006-01-01 00:00:00

  • The association of congenital megaureter and ureteropelvic junction obstruction.

    abstract::Megaureter and ureteropelvic junction obstruction are not uncommon urinary tract congenital abnormalities. While each has been known to be associated with other urogenital anomalies, their association together is rarely reported. This report will describe the diagnosis and management of such a case. ...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/BF02083010

    authors: Waltzer WC

    更新日期:1983-01-01 00:00:00

  • Modified method of radical retropubic prostatectomy for localized prostatic cancer.

    abstract::A modified method of retropubic radical prostatectomy was devised. The root of the penis was compressed and the bilateral internal iliac arteries were clamped before the dissection of the prostate. The urethra was divided at the junction of the prostate and bladder so that the bladder stump thus created has the size o...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/BF02549537

    authors: Ito H,Yamaguchi K,Kotake T,Suzuki F,Miura N

    更新日期:1992-01-01 00:00:00

  • Leukopenia with different regenerated haemodialysis membranes.

    abstract::The white blood cell count (WBC) decreases during haemodialysis and it was investigated as a function of different dialysis membranes. Each of them was used four times, applying different sterilization methods. Twelve chronic haemodialysis patients were studied and dialysed with cuprophan and polyacrylonitrile (PAN) m...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/BF02082704

    authors: Ksiaźek A,Sokołowska G,Marczewski K,Solski J

    更新日期:1984-01-01 00:00:00

  • The role of zinc in urinary stone disease.

    abstract::In recent years, the role of trace elements in lithogenesis has received steadily increasing attention. It is well documented that some trace elements can influence the morphology and speed of the crystallization process. Zinc has been found in significant amounts in calcium stones relative or organic stones (uric aci...

    journal_title:International urology and nephrology

    pub_type: 杂志文章,评审

    doi:10.1007/s11255-017-1784-7

    authors: Negri AL

    更新日期:2018-05-01 00:00:00

  • Autoantibodies against phospholipase A2 receptor in Brazilian patients with glomerular diseases.

    abstract:BACKGROUND:Recently, great progress has been made in understanding the pathogenesis of membranous nephropathy (MN) with the discovery of autoantibodies (Abs) to M-type phospholipase A2 receptor (PLA2R) in serum and in immunocomplexes deposited in glomerulus in most adult patients with primary MN. OBJECTIVE:To evaluate...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-020-02682-w

    authors: Santos Neto CO,Passos MT,Fernandes DE,Nishida SK,Andrade LEC,Mastroianni Kirsztajn G

    更新日期:2020-10-31 00:00:00

  • Does neutrophyl to lymphocyte ratio really predict chronic kidney disease progression?

    abstract:PURPOSE:Chronic kidney disease (CKD) is an inflammatory process. In addition to increased morbidity and mortality, inflammation also contributes to the progression of CKD. Neutrophil/lymphocyte ratio (NLR) is a marker of inflammation. Some recent data suggest that NLR may predict the progression of CKD. METHODS:In thi...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-018-1994-7

    authors: Altunoren O,Akkus G,Sezal DT,Ciftcioglu M,Guzel FB,Isiktas S,Torun GI,Uyan M,Sokmen MF,Sevim HA,Sarısık FN,Senel ME,Erken E,Gungor O

    更新日期:2019-01-01 00:00:00

  • Voiding disorders and unstable bladder in children.

    abstract::A total of 42 neurologically normal children with different voiding problems have been studied urodynamically during the last 4 years. Seventeen patients had unstable bladder, with significantly decreased capacity. The degree of volume decrease depended on the severity of instability and on the type of micturition pro...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:

    authors: Szabó L,Borbás E

    更新日期:1993-01-01 00:00:00

  • Pseudoneotesticle formation using indigenous scrotal structures.

    abstract::We report on our experience with a new surgical procedure of forming a pseudoneotesticle from indigenous tissues obtained from the existing scrotal contents. This procedure has been performed in 32 patients with a diagnosis of hormone dependent cancer of the prostate as a therapeutic manoeuvre, and in 3 children who h...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/BF02550317

    authors: Barbalias GA,Liatsikos EN

    更新日期:1998-01-01 00:00:00

  • Effects of omega-3 fatty acid plus alpha-tocopherol supplementation on malnutrition-inflammation score, biomarkers of inflammation and oxidative stress in chronic hemodialysis patients.

    abstract:OBJECTIVE:The current study was carried out to assess the effects of omega-3 fatty acid and alpha-tocopherol co-supplementation on malnutrition-inflammation score (MIS), biomarkers of inflammation and oxidative stress in chronic hemodialysis (HD) patients. METHODS:In a randomized double-blind placebo-controlled clinic...

    journal_title:International urology and nephrology

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11255-016-1399-4

    authors: Asemi Z,Soleimani A,Shakeri H,Mazroii N,Esmaillzadeh A

    更新日期:2016-11-01 00:00:00

  • Effects of combined treatment of tadalafil and tamsulosin on bladder dysfunction via the inhibition of afferent nerve activities in a rat model of bladder outlet obstruction.

    abstract:PURPOSE:To investigate the effects of combined treatment of tadalafil (a phosphodiesterase-5 inhibitor) and tamsulosin (an α1-adrenoceptor antagonist) on bladder dysfunction in a rat model of bladder outlet obstruction (BOO). METHODS:Cystometry was performed in conscious female BOO rats 6 weeks after partially ligatio...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-018-1835-8

    authors: Furuta A,Suzuki Y,Igarashi T,Koike Y,Egawa S,Yoshimura N

    更新日期:2018-05-01 00:00:00

  • Simultaneous double contrast cystography and modified polycystography in the evaluation of bladder carcinoma.

    abstract::Accurate knowledge about the morphology and degree of infiltration of a bladder tumor is an essential prerequisite to correctly plan, and forecast the results of, the treatment of these tumors. Among the radiological investigations double contrast cystography is superior to excretory cystogram or conventional cystogra...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/BF02082014

    authors: Raghavaiah NV

    更新日期:1977-01-01 00:00:00

  • Testicular microlithiasis: case report and discussion of management under special consideration of testicular germ cell tumours.

    abstract::We report a case of testicular microlithiasis in a 24-year-old man who was referred to us for evaluation of unclear ultrasonographic appearance of his testes while being examined for bilateral varicocele and epididymal cysts. Since testicular microlithiasis has been found to be associated with testicular germ cell tum...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/BF02550962

    authors: Wegner HE,Hamm B,Loy V,Dieckmann KP

    更新日期:1996-01-01 00:00:00

  • Renoprotective effects of continuous positive airway pressure in chronic kidney disease patients with sleep apnea.

    abstract:PURPOSE:Chronic kidney disease (CKD) is associated with a high incidence of obstructive sleep apnea (OSA). We assessed the effect of continuous positive airway pressure (CPAP) on renal function in patients with CKD and OSA. METHODS:In this retrospective cohort study, 42 patients with Stage 3-5 CKD and OSA were stratif...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-015-1113-y

    authors: Puckrin R,Iqbal S,Zidulka A,Vasilevsky M,Barre P

    更新日期:2015-11-01 00:00:00

  • Case report: octreotide as an adjunct to embolisation in the management of recurrent bleeding upper gastrointestinal metastases from primary renal cell cancer.

    abstract::The recommended treatment for patients with severe bleeding from upper gastrointestinal (GI) metastases is embolisation. We report a case in which despite adequate embolisation major haemorrhage from renal cell carcinoma (RCC) gastric metastases continually recurred. During a severe bleed refractory to embolisation oc...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-005-0251-z

    authors: Lamb GW,Moss J,Edwards R,Aitchison M

    更新日期:2005-01-01 00:00:00

  • Recurrent atrioventricular nodal re-entrant tachycardia treated with percutaneous ablation in a 75-year old patient undergoing intermittent hemodialysis.

    abstract::A 75-year old man with long-term arterial hypertension was diagnosed in 1998 with stage 3 chronic kidney disease due to hypertensive nephropathy. Since May 2004 the patient has been treated with intermittent hemodialysis. Since 1998 he has been hospitalized several times because of palpitations in the course of paroxy...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-007-9302-y

    authors: Ratajewska AM,Banachowicz WW,Grzegorzewska AE

    更新日期:2009-01-01 00:00:00

  • The effects of long-term medical treatment combined with clean intermittent catheterization in children with neurogenic detrusor overactivity.

    abstract:OBJECTIVES:To assess whether conservative treatment of pediatric patients with neurogenic detrusor overactivity (NDO) results in lower bladder pressure and increased expected bladder volume (EBV), we investigated the clinical and urodynamic effects of long-term intravesical oxybutynin instillation compared with a stand...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-011-0030-y

    authors: Lehnert T,Weisser M,Till H,Rolle U

    更新日期:2012-04-01 00:00:00

  • Is it worth using daclizumab induction therapy with mycophenolate mofetil-based immunosuppressive regimens in live related donor kidney transplantation? A long-term follow up.

    abstract:BACKGROUND/AIMS:The aim of this work is to determine the long-term therapeutic benefit(s) of daclizumab induction therapy with triple immunosuppressive protocols including prednisolone, cyclosporine microemulsion (CsA), and mycophenolate mofetil (MMF) in the living related donor kidney transplantation. METHODS:Twenty-...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-006-9091-8

    authors: Sheashaa HA,Bakr MA,Fouda MA,El-Dahshan KF,Ismail AM,Sobh MA,Ghoneim MA

    更新日期:2007-01-01 00:00:00

  • Establishing a renal management clinic in China: initiative, challenges, and opportunities.

    abstract:BACKGROUND:Chronic kidney disease (CKD) has been identified as a growing global burden and traditional health care systems are inadequate for the management of CKD patients. This paper describes an initiative to establish a renal management clinic (RMC) in China and discusses the challenges and opportunities in the man...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-008-9450-8

    authors: Zhang AH,Zhong H,Tang W,Chen SY,He L,Wang S,Su CY,Lu XH,Wang T

    更新日期:2008-01-01 00:00:00

  • Clinical usefulness of lanthanum carbonate for serum phosphate control in difficult patients.

    abstract:BACKGROUND:The adequate control of phosphataemia is of major importance in end-stage renal disease patients on maintenance dialysis. Recently, lanthanum carbonate (LC) has been added to the phosphate binder armamentarium. To our knowledge, no studies have yet evaluated the usefulness of this drug in uncontrolled hyperp...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-010-9860-2

    authors: Almirall J,Betancourt L,Esteve V,Valenzuela MP,López T,Ruiz A,Martínez-Ocaña JC,Calvet X

    更新日期:2012-02-01 00:00:00

  • Predictors of symptomatic lymphocele after kidney transplantation.

    abstract:PURPOSE:The development of a symptomatic lymphocele (SL) is a frequent postoperative surgical complication after kidney transplantation. It may lead to pain and discomfort and cause transplant malfunction or even secondary graft loss. A large cohort of renal recipients was investigated to identify the possible risk fac...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-019-02269-0

    authors: Joosten M,d'Ancona FC,van der Meijden WA,Poyck PP

    更新日期:2019-12-01 00:00:00

  • The efficacy of the addition of short-term desmopressin to alarm therapy in the treatment of primary nocturnal enuresis.

    abstract:OBJECTIVE:The purpose was to evaluate the efficacy of the addition of short-term desmopressin to enuretic alarm in patients with primary monosymptomatic nocturnal enuresis (PMNE). MATERIALS AND METHODS:A total of 58 [corrected] children with PMNE were included in this study. The patients were randomized into two group...

    journal_title:International urology and nephrology

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11255-008-9355-6

    authors: Ozden C,Ozdal OL,Aktas BK,Ozelci A,Altinova S,Memis A

    更新日期:2008-01-01 00:00:00