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Letters to the Editor

Are only serum creatinine levels good enough for detecting acute kidney injury?

Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Research and Training Hospital, Istanbul, Turkey

Received 29 March 2008; accepted 23 April 2008.

^_* Corresponding author. Address: Atf bey sokak Derya 85 sitesi, 2. Ksm A blok, Kat: 3, D: 11 Acbadem, 34660, Istanbul, Turkey. Tel.: +90 216 545 28 58. (Email: mdumantepe@gmail.com).

Key Words: Acute kidney injury • Cardiopulmonary bypass • Creatinine • IL-18

The first 20% of the full text of this article appears below.

I read with great interest the article titled ‘Does furosemide prevent renal dysfunction in high-risk cardiac surgical patients? Results of a double-blinded prospective randomised trial’ [1]. First of all I would like to thank the authors for their efforts and then add a few things to the topic. We concur with the authors that perioperative urinary output more than 1 ml/kg/h is not an outstanding reflection of renal function after cardiopulmonary bypass. In that situation most of us think everything is all right. As the authors mentioned, lots of factors are responsible for acute kidney injury (AKI) . . . [Full Text of this Article]