High Chloride Burden and Clinical Outcomes in Critically Ill Patients With Large Hemispheric Infarction

Acute kidney injury in neurocritical care

Approximately 20% of patients with acute brain injury (ABI) also experience acute kidney injury (AKI), which worsens their outcomes. The metabolic and inflammatory changes associated with AKI likely contribute to prolonged brain injury and edema. As a result, recognizing its presence is important for effectively managing ABI and its sequelae. This review discusses the occurrence and effects of AKI in critically ill adults with neurological conditions, outlines potential mechanisms connecting AKI and ABI progression, and highlights AKI management principles. Tailored approaches include optimizing blood pressure, managing intracranial pressure, adjusting medication dosages, and assessing the type of administered fluids. Preventive measures include avoiding nephrotoxic drugs, improving hemodynamic and fluid balance, and addressing coexisting AKI syndromes. ABI patients undergoing renal replacement therapy (RRT) are more susceptible to neurological complications. RRT can negatively impact cerebral blood flow, intracranial pressure, and brain tissue oxygenation, with effects tied to specific RRT methods. Continuous RRT is favored for better hemodynamic stability and lower risk of dialysis disequilibrium syndrome. Potential RRT modifications for ABI patients include adjusted dialysate and blood flow rates, osmotherapy, and alternate anticoagulation methods. Future research should explore whether these strategies enhance outcomes and if using novel AKI biomarkers can mitigate AKI-related complications in ABI patients.

Review of Chloride Ion Detection Technology in Water

The chloride ion (Cl−) is a type of anion which is commonly found in the environment and has important physiological functions and industrial uses. However, a high content of Cl− in water will do harm to the ecological environment, human health and industrial production. It is of great significance to strictly monitor the Cl− content in water. Following the recent development of society and industry, large amounts of domestic sewage and industrial sewage are discharged into the environment, which results in the water becoming seriously polluted by Cl−. The detection of Cl− has gradually become a research focus. This paper introduces the harm of Cl− pollution in the environment and summarizes various Cl− detection methods, including the volumetric method, spectrophotometry method, electrochemical method, ion chromatography, paper-based microfluidic technology, fluorescent molecular probe, and flow injection. The principle and application of each technology are described; their advantages, disadvantages, and applicability are discussed. To goal of this research is to find a more simple, rapid, environmental protection and strong anti-interference detection technology of Cl−.