Tier 1 | |
• Postoperative cardiovascular surgery | |
• Shock/Hemodynamically unstable | |
• Sepsis | |
• Postoperative major non-cardiovascular surgery | |
• Cardiac arrest, extracorporeal membrane oxygenation | |
• Oliguria after acute resuscitation | |
Tier 2 | |
• Severe trauma (Injury Severity Score > 15) | |
• Acute illness/decompensation | |
• Elevated serum creatinine and no baseline | |
• Decompensated heart failure | |
• Acute respiratory distress syndrome/hypoxic respiratory failure | |
• Burn patients with total body surface area > 30% | |
• Anyone being seen by a rapid response team | |
• Solid organ (liver, heart, lung, kidney) transplants | |
• Receiving any nephrotoxic medications | |
• Any unplanned intensive care unit admission | |
• Suspected (impending) stage 2/3 acute kidney injury | |
• Volume depleted | |
• End-stage liver disease with early acute kidney injury (± hepatorenal syndrome) | |
• Post-urologic procedure (e.g., partial / radical nephrectomy or cystectomy) |