Discover and read the best of Twitter Threads about #nephrocentric
Most recents (1)
"Dry (#COVID19) lungs are happy lungs." This is the last line of this thoughtful piece on @MGHMedicine's FLARE: us19.campaign-archive.com/?u=ef98149bee3… Well balanced concerns with fluid loading vs aggressive diuresis. I'd like to add some thoughts.... (1/13) 
Goal is euvolemia (Duh?). Easy to say but, WTH is euvolemia anyway?. Let's be honest, fluid therapy has always been about keeping the kidneys happy. Two examples of this #nephrocentric approach to fluids (one from FLARE, one from @jlvincen) (2/13)
Non of this is wrong. Definitely hypovolemic patients (vomiting, diarrhea, and poor oral intake) will benefit from fluids. However, the emphasis of fluid therapy tailored to creatinine ignores that most Sepsis-induced AKI is NOT VOLUME RELATED! (3/13)
