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Diagnosis Harm/ aetiology Prognosis Therapy

Acute renal failure dopamine has no clear benefit in critically-ill patients Level of evidence 1b- Expiry Date October 2004 Acute renal failure veno-venous haemofiltration: higher ultrafiltration rates reduce mortality Level of evidence 1b Expiry Date October 2004  Constast media chronic renal insufficiency: acetylcysteine reduces acute reductions in renal function Level of evidence 1b Expiry Date June 2004  Acute renal failure oliguria: mannitol may improve urine output. Level of evidence 4 Expiry Date July 2003 Acute renal failure no clear role for intensive dialysis. Level of evidence 2b- Expiry Date April 2002 Acute renal failure no clear role for essential amino acids. Level of evidence 1a- Expiry Date April 2003 Acute renal failure dopamine acutely increased urine output and creatinine clearance. Level of evidence 2a Expiry Date August  2003 Acute renal failure oliguria: sustained high doses of furosemide was of uncertain benefit. Level of evidence 1b- Expiry Date August  2003 Acute renal failure high dose loop diuretics increased urine output and seizures. Level of evidence 1b Expiry Date July 2003 Acute renal failure and oliguria: high dose frusemide had no clear effect on urine output or death. Level of evidence 1b- Expiry Date July 2003 Contrast media low-osmolality causes less nephrotoxicity than high-osmolality. Level of evidence 1a Expiry Date October 2003 Acute renal failure acute tubular necrosis: anaritide had no clear effect. Level of evidence 1b- Expiry Date August 2003 Critical illness albumin infusions to maintain colloid osmotic pressure did not clearly benefit post-operative critically ill patients. Level of evidence 1b- Expiry Date July 2003 Critical illness albumin increase death. Level of evidence 1a Expiry Date July 2003 Fluid resuscitation colloids may cause more patients to die than crystalloids. Level of evidence 1a- Expiry Date August 2003 Infection aminoglycosides: once-daily treatment is more effective and less toxic than multiple daily doses. Level of evidence 1a Expiry Date May 2003 Septic shock norepinephrine reversed haemodynamic abnormalities better than dopamine Level of evidence 1b Expiry Date October 2003 Septic shock norepinephrine increased urine output in most patients. Level of evidence 4 Expiry Date July 2003