The bottom-line is that KDIGO went on a limb to make the assertion recommending against diuretics in AKI. The evidence is simply not there to make such a statement. The largest randomized trial is deeply flawed but even this showed minimal evidence for harm and a potential benefit. So, I will continue to use diuretics in the treatment of AKI until there is additional data to suggest otherwise.
Ajay Singh weighs in.
Posted on infosnack.