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Nutrition in Acute Renal Failure

  • Chapter
Acute Renal Failure in the Critically Ill

Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 20))

Abstract

The therapy of patients with acute renal failure (ARF) has undergone major changes over the last 30 years, and these changes have also profoundly affected its nutritional management. In the following chapter these changes will be reviewed and a modern approach to nutrition in critically ill patients with ARF will be discussed. The clinical and laboratory research underpinning the concept of a more aggressive nutritional approach in these patients will also be reviewed in an attempt to provide a full understanding of its rationale.

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References

  1. Borst JGG (1948) Protein catabolism in uremia. Effects of protein-free diet, infections and blood transfusions. Lancet 1:824–827

    PubMed  CAS  Google Scholar 

  2. Bull GM, Joekes AM, Lowe KG (1949) Conservative treatment of anuric uremia. Lancet 2:229–234

    PubMed  CAS  Google Scholar 

  3. Gamble JL (1946–1947) Physiological information from studies on the life-raft ration. Harvey Lect 42:247–258

    CAS  Google Scholar 

  4. Berlyne GM, Bazzard FJ, Booth EM et al. (1967) The dietary treatment of acute renal failure. Q J Med 141:59–65

    Google Scholar 

  5. Teschan PE, Baxter CR, O’Brien TF et al. (1960) Prophylactic hemodialysis in the treatment of acute renal failure. Ann Intern Med 53:992–997

    PubMed  CAS  Google Scholar 

  6. Kleinknecht D, Junkers P, Chanard J, Barbancel C, Ganeval D (1972) Uremic and non- uremic comphcations in acute renal failure: evaluation of early and frequent dialysis on prognosis. Kidney Int 1:190–194

    PubMed  CAS  Google Scholar 

  7. Lee HA, Sharpstone P, Ames AC (1967) Parenteral nutrition in renal failure. Postgrad Med J 43:81–85

    PubMed  CAS  Google Scholar 

  8. Dudrick SJ, Steiger E, Long JM (1970) Renal failure in surgical patients — treatment with intravenous essential aminoacids and hypertonic glucose. Surgery 68:180–185

    PubMed  CAS  Google Scholar 

  9. Abel RM, Beck CH Jr, Abbot WM et al. (1973) Improved survival in acute renal failure after treatment with intravenous essential L-amino acids and glucose. N Engl J Med 288:695–699

    PubMed  CAS  Google Scholar 

  10. Leonard C, Luke RG, Siegel RR (1975) Parenteral essential amino acids in acute renal failure. Urology 6:154–157

    PubMed  CAS  Google Scholar 

  11. Se-Min Baek, Makabah GG, Bryan-Brown CW, Kusek J, Shoemaker WC (1975) The influence of parenteral nutrition on the course of acute renal failure. Surg Gynecol Obstet 141:405–408

    Google Scholar 

  12. Feinstein EI, Blumenkrantz J, Healy M et al. (1981) Chnical and metabolic responses to parenteral nutrition in acute renal failure. Medicine (Baltimore) 60:124–137

    CAS  Google Scholar 

  13. Weissman C, Hyman AI (1987) Nutritional care of the critically ill patient with respiratory failure. Crit Care Clin 3:185–203

    PubMed  CAS  Google Scholar 

  14. Rochester DF, Esau SA (1984) Malnutrition and the respiratory system. Chest 85:411–415

    PubMed  CAS  Google Scholar 

  15. Pingleton SK, Harmon GS (1987) Nutritional management in acute respiratory failure. JAMA 257:3094–3099

    PubMed  CAS  Google Scholar 

  16. Doekel RC, Zwillich CW, Scoggin CH, Krygger M, Weil JV (1976) Clinical semistravation: depression of hypoxic ventilatory response. N Engl J Med 295:358–361

    PubMed  CAS  Google Scholar 

  17. Radrizzani D, lapichino G, Cambisano M, Bonetti G, Ronzoni G, Colombo A (1988) Peripheral, visceral and body nitrogen balance of catabolic patients, without and with parenteral nutrition. Intensive Care Med 14:212–216

    PubMed  CAS  Google Scholar 

  18. Elwyn DH (1980) Nutrional requirements of adult surgical patients. Crit Care Med 8:9–20

    PubMed  CAS  Google Scholar 

  19. lapichino G, Radrizzani D, Solca M et al. (1984) The main determinants of nitrogen balance during total parenteral nutridon in critically ill injured patients. Intensive Care Med 10:251–254

    Google Scholar 

  20. Daly JM, Reynolds J, Thom A et al. (1988) Immune and metabolic effects of arginine in the surgical patient. Ann Surg 208:512–523

    PubMed  CAS  Google Scholar 

  21. lapichino G, Radrizzani D, Schecini A et al. (1988) Essential and non-essendal amino acid requirement in injured patients receiving total parenteral nutrition. Intensive Care Med 14:399–405

    Google Scholar 

  22. Cerra FB (1987) Hypermetabolism, organ failure and metabolic support. Surgery 101:1–6

    PubMed  CAS  Google Scholar 

  23. Kirkpatrick J, Donn M, Haynes M (1981) The therapeutic advantages of a balance nutrition support system. Surgery 89:370–376

    PubMed  CAS  Google Scholar 

  24. Seba TM, Dillon BC, Lausen ME (1983) Fibronectin and phagocytic host defense: relationship to nutritional support. JPEN J Parenter Enteral Nutr 7:62–66

    Google Scholar 

  25. Jeejeebhoy KN (1992) Nutrition in critical illness. In: Civetta JM, Taylor RW, Kirby RR (eds) Critical care, 2nd enn. Lippincott, Philadelphia, pp 1093–1117

    Google Scholar 

  26. Christman JW, Mc Cain RW (1993) A sensible approach to the nutritional support of mechanically ventilated critically ill patients. Intensive Care Med 19:129–136

    PubMed  CAS  Google Scholar 

  27. Barison RD (1990) The measurement of energy ependiture: instrumentation, practical considerations, and clinical application. Respir Care 35:640–659

    Google Scholar 

  28. Harris JA, Benedict FG (1919) A biometrie study of basal metabolism. Carnegie Insdtute of Washington, Washington (Pubi no 279)

    Google Scholar 

  29. Mann S, Westenskow DR, Houtchens BA (1985) Measured and predicted caloric expenditure in the acutely ill. Crit Care Med 13:173–177

    PubMed  CAS  Google Scholar 

  30. Liggett SB, Renfro AD (1990) Energy expenditure of mechanically ventilated nonsurgical padents. Chest 98:682–686

    PubMed  CAS  Google Scholar 

  31. Askanazi J, Carpentier YA, Elwyn DH et al. (1980) Influence of total parenteral nutrition on fuel utilization in injury and sepsis. Ann Surg 191:40–46

    PubMed  CAS  Google Scholar 

  32. Frayn KN (1986) Hormonal control of metabolism in trauma and sepsis. Clin Endocrinol (Oxf) 24:577–599

    CAS  Google Scholar 

  33. Romanosky AJ, Bagby GJ, Bockman EL et al. (1980) Free fatty acid utilization by skeletal muscle after endotoxin administration. Am J Physiol 239:E391-E395

    PubMed  CAS  Google Scholar 

  34. Spitzer JJ, Bagby GJ, Meszaros K, Lang CH (1988) Alterations in lipid and carbohydrate metabolism in sepsis. JPEN J Parenter Enteral Nutr 12:553–558

    Google Scholar 

  35. Sax HC, Talamini MA, Brackett K, Fischer JE (1986) Hepatic steatosis in total parenteral nutrition: failure of fatty infiltration to correlate with abnormal serum hepatic enzyme levels. Surgery 100:697–703

    PubMed  CAS  Google Scholar 

  36. Colloway DH, Spector H (1954) Nitrogen balance as related to caloric and protein intake in active young men. Am J Clin Nutr 2:405–411

    Google Scholar 

  37. Richardson DP, Wayler AH, Scrimshaw NS et al. (1979) Quantitative effect of an isoenergetic exchange of fat for carbohydrate on dietary protein utilizadon in healthy yound men. Am J Chn Nutr 32:2217–2225

    CAS  Google Scholar 

  38. Bozzetd F (1976) Parenteral nutrition in surgical patients. Surg Gynecol Obstet 142:1–4

    Google Scholar 

  39. Greenberg GR, Jeejeebhoy KN (1979) Intravenous protein sparing therapy in padents with gastrointesdnal disease. JPEN J Parenter Enteral Nutr 3:427–433

    PubMed  CAS  Google Scholar 

  40. Bellomo R, Martin H, Parkin G, Love J, Boyce N (1991) Condnuous arteriovenous haemodiafiltration in the critically ill. Influence on major nutrient balances. Intensive Car Med 17:399–402

    CAS  Google Scholar 

  41. Burke JF, Wolfe RR, Mullany CJ et al. (1979) Glucose requirements following burn injury. Ann Surg 190:274–279

    PubMed  CAS  Google Scholar 

  42. Golden MHN, Golden BE, Jackson AA (1980) Skin breakdown in kwashiorkor responds to zinc. Lancet 1:1256–1258

    PubMed  CAS  Google Scholar 

  43. Golden MHN, Golden BE, Harland PSEG et al. (1978) Zinc and immuno competence in protein-energy malnutrition. Lancet 1:1226–1229

    PubMed  CAS  Google Scholar 

  44. Johnson RA, Baker SS, Fallon JT et al. (1981) An accidental case of cardiomyopathy and selenium deficiency. N Engl J Med 304:1210–1212

    PubMed  CAS  Google Scholar 

  45. Berger R, Adams L (1989) Nutritional support in the critical care setting. Chest 96:139- 150

    PubMed  CAS  Google Scholar 

  46. Heymsfield SB, Bethel RA, Ansley JD, Nixon DW, Rudman D (1979) Enteral hyperalimentation: an alternative to central venous hyperahmentaion. Ann Intern Med 90:63–71

    PubMed  CAS  Google Scholar 

  47. McArdle AH, Palmason C, Mozency I, Brown RA (1981) A rationale for enteral feeding as the preferable route for hyperalimentation. Surgery 90:616–623

    PubMed  CAS  Google Scholar 

  48. Kudsk KA, Crose MA, Fabian TC et al. (1991) Enteral versus parenteral feeding. Effects on septic morbidity after blunt and penetrating abdominal trauma. Ann Surg 215:503–513

    Google Scholar 

  49. Zaloga GF (1991) Bedside method for placing small bowel feeding tubes in critically ill patients. A prospective study. Chest 100:1643–1646

    PubMed  CAS  Google Scholar 

  50. Bagley JS, Wan JMF, Georgieff M, Forse RA, Blackburn GL (1991) Cellular nutrition in support of early mulitple organ failure. Chest 100:1825–1885

    Google Scholar 

  51. Sobrado J, Moldawer LL, Pomposelh JJ et al. (1985) Lipids emulsions and reticuloendo- thehal system function in healthy and burned guinea pigs. Am J Clin Nutr 9:559–565

    Google Scholar 

  52. Daly JM, Reynolds J, Thom A et al. (1988) Immune and metabolic effects of arginine in the surgical patient. Ann Surg 208:512–523

    PubMed  CAS  Google Scholar 

  53. Tamada H, Nezu R, Imamura I et al. (1992) The dipeptide alanylglutamine prevents intestinal mucosal atrophy in parenterally fed rats. JPEN J Parenter Enteral Nutr 16:110–116

    PubMed  CAS  Google Scholar 

  54. Van der Hülst R, van Kreel BK, van Meyersfeldt MF et al. (1993) Glutamine and the preservation of gut integrity. Lancet 341:1363–1365

    PubMed  Google Scholar 

  55. Lacy WW (1969) Effect of acute uremia on amino acid uptake and urea production by perfused rat liver. Am J Physiol 216(6): 1300–1305

    PubMed  CAS  Google Scholar 

  56. Frohch J, Sholmerich J, Hoppe-Seyler G et al. (1974) The effect of acute uremia on gluconeogenesis in isolated perfused rat liver. Eur J Clin Invest 4:453–458

    Google Scholar 

  57. McCormick GJ, Shear L, Barry KG (1966) Alteration of hepatic protein synthesis in acute uremia. Proc Soc Exp Biol Med 122:99–103

    PubMed  CAS  Google Scholar 

  58. Shear L (1969) Internal redistribution of tissue protein synthesis in uremia. J Clin Invest 48:1252–1257

    PubMed  CAS  Google Scholar 

  59. Flugel-Link RM, Salusk IB, Jones MR, Koppel JD (1983) Protein and amino acid metabohsm in posterior hemicorpus of acutely uremic rats. Am J Physiol 244:E615–E623

    PubMed  CAS  Google Scholar 

  60. Druml W, Burger U, Kleinberger G et al. (1986) Elimination of aminoacids in acute renal failure. Nephron 42:62–67

    PubMed  CAS  Google Scholar 

  61. Bergstrom J, Hultman E (1969) Glycogen content of skeletal muscle in patients with renal failure. Acta Med Scand 186:177–182

    PubMed  CAS  Google Scholar 

  62. Bilbrey GL, Faloona GR, White MG (1974) Hyperglucagonemia of renal failure. J Clin Invest 58:841–846

    Google Scholar 

  63. De Fronzora, Tobin JD, Rowe JW, Andres R (1978) Glucose intolerance in uremia. Quantification of pancreatic beta cell sensitivity to glucose and tissue sensitivity to insuhn J Clin Invest 62:425–434

    Google Scholar 

  64. Horl HW, Heidland A (1980) Enhanced proteolytic activity — cause of protein catabolism in acute renal failure. Am J Chn Nutr 33:1423–1429

    CAS  Google Scholar 

  65. Mitch WE (1981) Amino acid release from the hindquarter and urea appearance in acute uremia. Am J Physiol 241:E415-E419

    PubMed  CAS  Google Scholar 

  66. Mondon CE, Dolkans CB, Reaven GM, Alto P, Field M (1978) Ths site of insulin resistance in acute uremia. J Am Diabetes Assoc 27:571–576

    CAS  Google Scholar 

  67. Heidland A, Hoerl WH, Heller N, Heine H, Neumann S, Heidbreder E (1983) Proteolyse enzymes and catabolism: enhanced release of grannulocyte proeinases in uremic intoxication and during hemodialysis. Kidney Int 24 Suppl 16:S27-S36

    CAS  Google Scholar 

  68. Teschner M, Heidland A (1989) Hypercatabolism in acute renal failure — mechanisms and therapeudc approaches. Blood Purif 7:16–27

    PubMed  CAS  Google Scholar 

  69. Massry SG, Arieff AI, Coburn JW, Palmieri G, Kleeman CR (1974) Divalent ion metabolism in patients with acute renal failure: studies on the mechanism of hypocalcemia. Kidney Int 5:437–445

    PubMed  CAS  Google Scholar 

  70. Perez G, Carteni G, Ungaro B, Sacca L (1980) Influence of nephrectomy on the glucoregulatory response to insulin administration in the rat. Can J Physiol Pharmacol 58:301–305

    PubMed  CAS  Google Scholar 

  71. Cianciaruso B, Sacca L, Terracciano V et al. (1987) Insulin metabolism in acute renal failure. Kidney Im 32:S109-S112

    Google Scholar 

  72. McGale EHF, Pickfor JC, Aber GM (1972) Quantitative changes in plasma amino acids in patients with renal disease. Clin Chim Acta 38:395–400

    PubMed  CAS  Google Scholar 

  73. Kopple JD, Swendseid ME, Shinaber JH, Umezawa CY (1973) The free and bound amino acids removed by hemodialysis. Trans Am Soc Artif Intern Organs 14:309–311

    Google Scholar 

  74. Alverstrand A, Gutierrez A, Wahren J, Bergstrom J (1987) Protein catabolism in sham hemodialysis: the effect of different membranes. Blood Purif 5:269–275

    Google Scholar 

  75. Mault JR, Bartlett RU, Dechert RE, Swartz RD, Ferguson SK (1982) Oxygen consumption during hemodialysis for acute renal failure. Trans Am Soc Artif Intern Organs 28:514–516

    Google Scholar 

  76. Wolfson M, Jones MR, Kopple JD (1982) Amino acid losses during hemodialysis with infusion of aminoacids and glucose. Kidney Int 21:500–506

    PubMed  CAS  Google Scholar 

  77. Nolph KD, Rosenfield PS, Pwell JV, Danforth E Jr (1970) Peritoneal glucose transport and hyperglycemia during peritoneal dialysis. Am J Med Sci 259:272–276

    PubMed  CAS  Google Scholar 

  78. Manji N, Shikora S, McMahon M, Blackburn GL, Bistrian BR (1990) Peritoneal dialysis for acute renal failure: overfeeding resulting from dextrose absorbed during dialysis. Crit Care Med 18:29–31

    PubMed  CAS  Google Scholar 

  79. Blumenkrantz MJ, Gahl GM, Kopple JD et al. (1981) Protein losses during peritoneal dialysis. Kidney Int 19:593–602

    PubMed  CAS  Google Scholar 

  80. Davenport A, Roberts NB (1990) Amino acid losses during conitnuous high-flux hemofihration in the critically ill padents. Crit Care Med 17:1010–1014

    Google Scholar 

  81. Davenport A, Roberts NB (1989) Amino acid losses during hemofiltration. Blood Purif 7:192–196

    PubMed  CAS  Google Scholar 

  82. Davies SP, Realveley DA, Brown EA, Kox WJ (1991) Amino acid clearances and daily losses in patients with hemodialysis. Crit Care Med 19:1510–1515

    PubMed  CAS  Google Scholar 

  83. Bonnardeaux A, Pichette V, Ouimet D, Geadah D, Habel F, Cardinal J (1992) Solute clearances with high dialysate flow rates and glucose absorpdon from the dialysate in condnuous arteriovenous hemodialysis. Am J Kid Dis 19:31–38

    PubMed  CAS  Google Scholar 

  84. Bellomo R, Colman PG, Caudwell J, Boyce N (1992) Acute continuous hemofiltration with dialysis: effect on insulin concentrations and glycemic control in critically ill patients. Crit Care Med 20:1672–1676

    PubMed  CAS  Google Scholar 

  85. Gutierrez A, Alvestrand A, Wahren J, Bergstroem J (1990) Effect of in vivo contact between blood and dialysis membranes on protein catabolism in humans. Kidney Int 38:487–494

    PubMed  CAS  Google Scholar 

  86. Schneeweiss B, Graninger W, Stockbuber F et al. (1990) Energy metabolism in acute and chronic renal failure. Am J Clin Nutr 52:596–601

    PubMed  CAS  Google Scholar 

  87. Bouffard Y, Viole JP, Annat G, Delafosse B, Guillame G, Motin J (1987) Energy expenditure in the acute renal failure patient mechanically ventiated. Intensive Care Med 13:401–404

    PubMed  CAS  Google Scholar 

  88. Miller RL, Taylor WR, Gentry W, Day AT, Gazzaniga AB (1983) Indirect calorimetry in postoperative patients with acute renal failure. Am Surg 401:494–499

    Google Scholar 

  89. Gazzaniga AB, Polacheck JR, Wilson AF, Day AT (1978) Indirect calorimetry as a guide to caloric replacement during total parenteral nutrition. Am J Surg 136:128–132

    PubMed  CAS  Google Scholar 

  90. Mault JR, Dechert RE, Bartlett RH, Swartz RD, Ferguson SK (1982) Oxygen consumption during hemodialysis for acute renal failure. Trans Am Soc Ardf Intern Organs 28:510–513

    CAS  Google Scholar 

  91. Soop M, Forsberg E, Thoerne A, Alverstrand A (1989) Energy expenditure in postoperative multiple organ failure with acute renal failure. Chn Nephrol 31:139–145

    CAS  Google Scholar 

  92. Korchik WP, Brown DC, De Master EG (1978) Hemodialysis induced hypotension. Int J Artif Organs 1:151–155

    PubMed  CAS  Google Scholar 

  93. Kjellstrand CM, Rosa AA, Shidemann JR (1980) Hypotension during hemodialysis: osmolality fall is an important pathogenic factor. Am Soc Artif Intern Organs 3:11–15

    Google Scholar 

  94. Aurigemma NM, Feldman NT, Gottlieb M, Ingram RH, Lazarus JM, Lowrie EG (1977) Arterial oxygenation during hemodialysis. N Engl J Med 297:871–875

    PubMed  CAS  Google Scholar 

  95. Ronco C, Fabris A, Chiaramonte S et al. (1988) Comparison of four different short dialysis techniques. In J Artif Organs 3:169–174

    Google Scholar 

  96. Bellomo R, Mansfield D, Rumble S, Shapiro J, Parkin G, Boyce N (1992) Acute renal failure in critical illness: conventional dialysis (CD) vs. acute continuous hemodiafiltration (ACHD). ASAIO J 38:M654-M657

    PubMed  CAS  Google Scholar 

  97. Borah MF, Schoenfeld PY, Gotch FA, Sargent GJ, Wolfson M, Humphreys MH (1978) Nitrogen balance during intermittent dialysis therapy of uremia. Kidney Int 14:491–496

    PubMed  CAS  Google Scholar 

  98. Pelosi G, Proietti R, Arcangely A, Magahni SI, Bondoh A (1981) Total parenteral nutrition infúsate. An approach to its optimal composition in post trauma acute renal failure. Resuscitation 9:45–51

    PubMed  CAS  Google Scholar 

  99. Proietd R, Pelosi G, Santori A et al. (1983) Nutrition in acute renal failure. Resuscitation 10:159–166

    Google Scholar 

  100. Weissman C, Askanazi J, Rosenbaum S, Hyman A, Milic-Emih J, Kinsey JM (1983) Amino acids and respiration. Ann Intern Med 98:41–44

    PubMed  CAS  Google Scholar 

  101. Daly JM, Reynolds J, Sigal RK, Shou J, Liberman MD (1990) Effect of dietary protein and amino acids on immune function. Crit Care Med 18:S86-S93

    PubMed  CAS  Google Scholar 

  102. Deitch EA, Dazhong X, Oi L, Specian RD, Berg RD (1992) Protein malnutrition alone and in combination with endotoxin impairs systemic and gut-associated immunity. JPEN J Parenter Enteral Nutr 16:25–31

    PubMed  CAS  Google Scholar 

  103. Chandra RK (1983) Nutrition, infection and immunity: present knowledge and future directions. Lancet 1:688–691

    PubMed  CAS  Google Scholar 

  104. Deitch EA, Winterton J, Li M et al. (1987) The gut as a portal of entry for bacteremia: role of protein malnutrition. Ann Surg 205:681–692

    PubMed  CAS  Google Scholar 

  105. Ronco C (1993) Continuous renal replacement therapies for the treatment of acute renal failure in intensive care patients. Clin Nephrol 40:187–198

    PubMed  CAS  Google Scholar 

  106. Ronco C (1985) Arteriovenous hemodiafiltration (AVHDF): a possible way to increase urea removal during CAVH. J Int Soc Artif Organs 8:61–62

    CAS  Google Scholar 

  107. Geronemus R, Schneider N (1984) Continuous arteriovenous hemodialysis: a new modahty for treatment of acute renal failure. Trans Am Soc Artif Intern Organs 30:610–613

    PubMed  CAS  Google Scholar 

  108. Bellomo R, Parkin G, Love J, Boyce N (1992) Management of acute renal failure in the critically ill with continuous veno-venous haemodiafiltradon. Ren Fail 14:183–186

    PubMed  CAS  Google Scholar 

  109. Bellomo R, Parkin G, Love J, Boyce N (1992) The use of continuous haemodiafiltration: an approach to the management of acute renal failure in the critically ill. Am J Nephrol 12:240–245

    PubMed  CAS  Google Scholar 

  110. Barton IK, Hilton PJ, Taub NA et al. (1993) Acute renal failure treated by haemofiltration: factors affecdng outcome. Q J Med 86:81–90

    PubMed  CAS  Google Scholar 

  111. Bellomo R, Boyce N (1993) Continuous venovenous haemodiafiltration compared with conventional dialysis in critically ill patients with acute renal faiulre. ASAIO J 39:M794–M797

    PubMed  CAS  Google Scholar 

  112. Kierdorf H (1991) Continuous versus intermittent treatment: clinical results in acute renal failure. Contrib Nephrol 93:1–12

    PubMed  CAS  Google Scholar 

  113. Mault JR, Kresowik TF, Deckerk RE, Arnolidi DK, Swartz RD, Bartlett RH (1984) Continuous arteriovenous haemofiltration: the answer to starvation in acute renal failure. Trans Am Soc Artif Intern Organs 30:203–208

    PubMed  CAS  Google Scholar 

  114. Kierdorf H, Kindler J, Sieberth HG (1986) Nitrogen balance in patients with acute renal failure treated by continuous arteriovenous haemofiltration. Nephrol Dial Transplant 1:72–77

    Google Scholar 

  115. Bergstroem J, Ahlberg M, Alverstrand A (1985) Influence of protein intake on renal haemodynamics and plasma hormone concentrations in normal subjects. Acta Med Scand 217:189–196

    CAS  Google Scholar 

  116. Bosch JP, Lew S, Glabman S, Lauer A (1986) Renal haemodynamic changes in humans. Response to protein loading in normal and diseased kidneys. Am J Med 81:809–815

    PubMed  CAS  Google Scholar 

  117. Pullman TN, Alving AS, Dern RJ, Landowne M (1954) The influence of dietary protein intake on specific renal functions in norman man. J Lab Clin Med 44:320–332

    PubMed  CAS  Google Scholar 

  118. Graf H, Stummvoll HK, Luger A, Prayer R (1983) Effect of amino acid infusion on glomerular fihration rate. N Engl J Med 308:159–160

    PubMed  CAS  Google Scholar 

  119. Woods LL, Mizelle HL, Montani J-P, Hall JE (1986) Mechanisms controlhng renal haemodynamics and electrolyte excretion during amino acids. Am J Physiol 251:F303–F312

    PubMed  CAS  Google Scholar 

  120. Shannon JA, Joliffe N, Smith HW (1932) The excretion of urine in the dog. IV. The effect of maintenance diet, feeding, etc, upon the quantity of glomerular filtrate. Am J Physiol 101:625–638

    CAS  Google Scholar 

  121. Woods L (1993) Mechanisms of renal haemodynamic regulation in response to protein feeding. Kidney Int 44:659–675

    PubMed  CAS  Google Scholar 

  122. Druml W, Buerger U, Kleinberger G, Lenz K, Laggner A (1986) Ehmination of amino acids in acute renal failure. Nephron 42:62–67

    PubMed  CAS  Google Scholar 

  123. Toback FG (1977) Amino acid enhancement of renal regeneration after acute tubular necrosis. Kidney Int 12:193–198

    PubMed  CAS  Google Scholar 

  124. Toback FG, Teegarden DE, Havener LJ (1979) Amino acid-mediated stimulation of renal phospholipid biosynthesis after acute tubular necrosis. Kidney Int 15:542–547

    PubMed  CAS  Google Scholar 

  125. Toback FG, Dadd RC, Maier ER, Havener LJ (1983) Amino acid administration enhances renal protein metabohsm after acute tubular necrosis. Nephron 33:238–243

    PubMed  CAS  Google Scholar 

  126. Garza-Ouintero R, Ortega-Lopez J, Stein JH, ven Katachalam MA (1987) Alanine protects rabbit proximal tubules against anoxic injury in vitro. Am J Physiol 258:F1075–F1083

    Google Scholar 

  127. Racusen LC, Finn WF, Whelton A, Bolez K (1985) Mechanisms of lysine-induced acute renal failure in rats. Kidney Int 27:517–522

    PubMed  CAS  Google Scholar 

  128. Andrews PM, Bates SB (1987) Dietary protein prior to renal ischemia and postischemic kidney function. Kidney Int 32:576–580

    Google Scholar 

  129. Zager RA (1987) Amino acid hyperalimentation in acute renal failure. Kidney Int 32:S72–S75

    Google Scholar 

  130. Paganini E (1993) Continuous renal replacement is the preferred treatment for ah acute renal failure patients receiving intensive care. Semin Dial 6:176–179

    Google Scholar 

  131. Kierdorf H (1991) Continuous versus intermittent treatment: chnical results in acute renal failure. Contrib Nephrol 93:1–12

    PubMed  CAS  Google Scholar 

  132. Hill GL, King RFG, Smith RC (1979) Multi-element analysis of the living body by neutron activation analysis-application to critically ill patients receiving intravenous nutrition. Br J Surg 66:868–872

    PubMed  CAS  Google Scholar 

  133. Weissman C, Askanazi J, Rosenbaum S, Hyman AI, Milic-Emili J, Kimmey J (1983) Amino acids and respiration. Ann Intern Med 98:41–44

    PubMed  CAS  Google Scholar 

  134. Ross RJM, Rodriguez-Arnao J, Bentham J, Cokley JH (1993) The role of insuhn, growth hormone and IGF-I as anabohc agents in the critically ill. 19:S54–S57

    Google Scholar 

  135. Ward HC, Halliday D, Sim JW (1978) Protein and energy metabolism with biosynthetic human growth hormone after gastrointestinal surgery. Ann Surg 206:56–61

    Google Scholar 

  136. Hammarqvist F, Stromberg C, Decken A, Vinnars E, Wernerman J (1992) Biosynthetic human growth hormone preserves both muscle protein synthesis and decrease in muscle free glutamine and improves whole-body nitrogen economy after operation. Ann Surg 216:184–191

    PubMed  CAS  Google Scholar 

  137. Lanz JK, Donahoe M, Rogers RM, Ontell M (1992) Effects of growth hormone on diaphragmatic recovery from malnutrition. J Appl Physiol 73:801–805

    PubMed  CAS  Google Scholar 

  138. Gatzen C, Scheltinga MR, Kimbrough TD, Jacobs DO, Wilmore DW (1992) Growth hormone attenuates the abnormal distribution of body water in critically ill surgical patients. Surgery 112:181–187

    PubMed  CAS  Google Scholar 

  139. Miell JP, Taylor AM, Jones J et al. (1992) Administradon of human recombinant insuhn- like growth factor-I to patients following gastrointestinal surgery. CHn Endocrinol (Oxf) 37:542–551

    CAS  Google Scholar 

  140. Woolfson AMJ, Heatley RV, Allison S (1979) Insulin to inhibit protein catabolism after injury. N Engl J Med 300:14–17

    PubMed  CAS  Google Scholar 

  141. Clowes GHA, Heideman M, Lindberg B et al. (1980) Effect of parenteral alimentation on amino acid metabohsm in septic patients. Surgery 88:531–543

    PubMed  CAS  Google Scholar 

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Authors
  1. R. Bellomo
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Editors and Affiliations

  1. Intensive Care Unit, Austin Hospital, 3084, Victoria, Australia

    Rinaldo Bellomo

  2. Dept. of Nephrology and Clinical Dialysis, St. Bartolo Hospital, 36100, Vicenza, Italy

    Claudio Ronco

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© 1995 Springer-Verlag Berlin Heidelberg

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Bellomo, R. (1995). Nutrition in Acute Renal Failure. In: Bellomo, R., Ronco, C. (eds) Acute Renal Failure in the Critically Ill. Update in Intensive Care and Emergency Medicine, vol 20. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79244-1_16

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  • DOI: https://doi.org/10.1007/978-3-642-79244-1_16

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-79246-5

  • Online ISBN: 978-3-642-79244-1

  • eBook Packages: Springer Book Archive

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