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Digital archive of theses discussed at the University of Pisa

 

Thesis etd-06172016-165915


Thesis type
Tesi di specializzazione (5 anni)
Author
BALDI, GIACOMO
URN
etd-06172016-165915
Thesis title
Kidney Function Monitoring by non-steady state Sulfate Plasma Clearance
Department
PATOLOGIA CHIRURGICA, MEDICA, MOLECOLARE E DELL'AREA CRITICA
Course of study
ANESTESIA, RIANIMAZIONE E TERAPIA INTENSIVA
Supervisors
relatore Prof. Forfori, Francesco
Keywords
  • gfr
  • renal failure
  • renal markers
Graduation session start date
27/07/2016
Availability
Withheld
Release date
27/07/2086
Summary
The measure of Glomerular Filtration Rate (GFR) as an estimate of renal function in the critical patient is obtained with different methods. The ones most used clinically, like creatinine clearance, serum creatinine and serum cystatin, suffer from low accuracy and slow responsiveness to kidney function variations. Gold standard methods are seldom used in the critical patient setting both for the high cost or low viability, like plasma clearance of non iodinated contrast media, Cr-EDTA clearance and inulin clearance.
This master thesis describes a method for fast and accurate measure of GFR by exploiting the renal excretion physiology of the sulfate ion. The method has been also experimentally tested and evaluated against clinical methods of GFR measure on an animal model.
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