Annals of clinical biochemistry
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Ann. Clin. Biochem. · Nov 2009
Assessment of glomerular filtration rate by serum cystatin C in patients undergoing coronary artery bypass grafting.
Assessment of renal function in patients undergoing coronary artery bypass grafting (CABG) is important. Cystatin C has been proposed as an improved indicator of renal function. The aim of this study was to assess cystatin C as an early marker of changes in glomerular filtration rate (GFR) after CABG. ⋯ Cystatin C is a better marker for detecting small temporary changes of GFR in CABG patients. This may allow better identification of patients with renal impairment.
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Ann. Clin. Biochem. · Nov 2009
Intravenous fluid therapy - an under-recognized patient safety opportunity.
Inappropriate fluid regimens are rarely documented as being responsible for patient harm, although there is considerable circumstantial evidence to suggest that fluid overload may be a considerably under-estimated source of patient morbidity and mortality. The GIFTASUP fluid management guidelines published in 2008 offer a valuable opportunity to consider a more standardised approach to fluid management, possibly in the context of developing routine hospital services to support good practice.