Abstract
The clinical picture of the impact of burn trauma on renal function Covers all stages from a transient effect of dehydration on a normal kidney to an immediate shutdown due to occlusion of the nephron from hemoglobin or myoglobin. Consequently the rôle of the kidney to the final outcome varies greatly. Ingeneral it becomes critical in two stages of the course of events. First if oliguria/anuria develops rapidly during the early shock phase the immediate risk of acute renal failure (ARF) is great, particularly if hemoglobin is present in urine. Later on a slowly deteriorating renal function may be the final cause of death not because of it severity but because it adds to the failure of other organ systems. This decline has many causes like sequelae of the primary shock, sepsis or the influence of other toxic agents. Even repeated episodes of shock due to hypovolemia during reconstructive surgery sometimes contribute.
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Literatur
Aukland, K.: Intrarenal distribution of blood flow. Are reliable methods available for measurements in man ? Scand. J. clin. Invest 35, 481 (1975)
Barisoni, D., Bertolini, D. s Kidney function in the extensive burn. Burns 7, 361 (1980)
Davies, D. M., Pusey, C. D., Rainford, D. J., Brown, J. M., Bennett, J. P.: Acute renal failure in burns. Scand. J. plast. reconstr. Surg. 13, 189 (1979)
Eklund, J.: Renal regulation of body osmolal balance in burns. Acta chir. scand., Suppl. 140 (1970)
Eklund, J., Granberg, P.-O., Liljedahl, S.-O.: Studies on renal function in burns I. Acta chir. scand. 136, 627 (1970)
Eklund, J.: Studies on renal function in burns II. Early signs of impaired renal function in lethal burns. Acta chir. scand. 136, 735 (1970)
Eklund, J.: Studies on renal function in burns III. Hyperosmolal states. Acta chir. scand. 136, 741 (1970)
Eklund, J.: Renal function in burns. In: Treatment of burns (eds. J. Donati, J. Burke, A. Bertelli ), p. 83. Padua/Italy: Piccin Medical Books 1976
Eklund, J.: Measurement of renal blood flow in anesthesia and intensive care. Acta anaesth. scand., Suppl. 70, 21 (1978)
Järnberg, P.-O., Eklund, J., Granberg, P.-O.: Acute effects of furosemide and mannitol on renal function in the early postoperative period. Acta anaesth. scand. 22, 173 (1978)
Järnberg, P.-O.: Acute effects of furosemide and mannitol on central hemodynamics in the early postoperative period. Acta anaesth. scand. 22, 184 (1978)
Lundberg, S.: Renal function during anaesthesia and openheart surgery in man. Acta anaesth. scand., Suppl. 27 (1967)
Monafo, W. W.: Renal function after thermal trauma: the effects on renal blood flow and sodium and water excretion. Surgery 79, 342 (1976)
Morgan, R. J., Jeevendra Martyn, J. A., Philbin, D. M., Coggins, C. H., Burke, J. F.: Water metabolism and antidiuretic hormone response following thermal injury. J. Trauma 20, 468 (1980)
Stein, J. H., Lifschitz, M. D., Barnes, L. D.: Current concepts on the pathophysiology of acute renal failure. Amer. J. Physiol. 234, F 171 (1978)
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Eklund, J., Järnberg, PO. (1982). Disturbances of Renal Function after Major Burn Injury. In: Ahnefeld, F.W., et al. Die Verbrennungskrankheit. Klinische Anästhesiologie und Intensivtherapie, vol 25. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-68738-9_7
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DOI: https://doi.org/10.1007/978-3-642-68738-9_7
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