Advertisement

Prevention of Acute Oliguric Renal Failure

  • M. Palazzo
Conference paper

Abstract

Acute renal failure may be defined as the inability of urine output to maintain normal plasma urea, creatinine, hydrogen ion balance and volume status. In normal 70 kg adults a sustained urine output of less than 0.5 ml/kg/h will usually result in a gradual rise in plasma creatinine and urea concentrations. However, some patients may develop or be converted to a non oliguric form of acute renal failure and, providing urine volumes are high enough, they provide sufficient removal of waste products to avoid the need for haemofiltration. The latter has many advantages: these include less nursing intensity, fewer complications related to bleeding and lower costs.

Keywords

Acute Renal Failure Urine Output Atrial Natriuretic Peptide Renal Blood Flow Acute Tubular Necrosis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Kramer P, Kaufhold G, Grone H (1980) Management of anuric intensive care patients with arteriovenous hemofiltration. Int J Artif Organs 3: 225–230PubMedGoogle Scholar
  2. 2.
    Klehr H, Kaschell H, Kuckenbecker C et al. (1985) Clinical result of continuous arteriovenous hemofiltration. In: Sieberth H, Mann H (eds) Continuous hemofiltration. Karger, Basel, pp 159–165Google Scholar
  3. 3.
    Weiss L, Danielson B, Wikstrom B et al (1987) Continuous arteriovenous haemofiltration in the treatment of 100 critically ill patients with acute renal failure; report on clinical outcome and nutritional aspects. Clin Nephrol 31: 184–189Google Scholar
  4. 4.
    Stevens P, Davies S, Brown E et al (1988) Continuous arteriovenous haemodialysis in critically ill patients. Lancet 2: 150–152PubMedCrossRefGoogle Scholar
  5. 5.
    Wendon J, Smithies M, Sheppard M et al (1989) Continuous high volume veno-venous hemofiltration in acute renal failure. Int Care Med 15: 358–363CrossRefGoogle Scholar
  6. 6.
    Storck M, Harte W, Zimmerer E et al (1990) Comparison of pump-driven and spontaneous continuous haemofiltration in postoperative acute renal failure. Lancet 337: 452–455CrossRefGoogle Scholar
  7. 7.
    Macias W, Mueller B, Scarim S et al (1991) Continuous venovenous hemofiltration: an alternative to continuous arteriovenous hemofiltration and hemodiafiltration in acute renal failure. Am J Kidney Dis 18: 451–458PubMedGoogle Scholar
  8. 8.
    Henderson I, Beattie T, Kennedy A (1980) Dopamine hydrochloride in oliguric states. Lancet ii: 827–828CrossRefGoogle Scholar
  9. 9.
    Lindner A (1983) Synergism of dopamine and furosemide in diuretic resistant oliguric acute renal failure. Nephron 33: 121–126PubMedCrossRefGoogle Scholar
  10. 10.
    Brown C, Ogg C, Cameron J (1981) High dose furosemide in acute renal failure: A controlled trial. Clin Nephrol 15: 90–96PubMedGoogle Scholar
  11. 11.
    Dawson J (1965) Post-operative renal function in obstructive jaundice: effect of a mannitol diuresis. Br Med J 1: 82–86PubMedCrossRefGoogle Scholar
  12. 12.
    Gubern J, Sancho J, Simo J et al (1988) A randomized trial on the effect of mannitol on postoperative renal function in patients with obstructive jaundice. Surgery 103(1): 39–44PubMedGoogle Scholar
  13. 13.
    Paul M, Mazer C, Byrick R et al (1986) Influence of mannitol and dopamine on renal function during elective infrarenal aortic clamping in man. Am J Nephrol 6(6): 427–434PubMedCrossRefGoogle Scholar
  14. 14.
    Rahman SN, Kim GE, Mathew AS et al (1994) Effects of atrial natriuretic peptide in clinical acute renal failure. Kidney Int 45(6): 1731–1738PubMedCrossRefGoogle Scholar
  15. 15.
    Hummel M, Kuhn M, Bub A et al (1993) Urodilatin, a new therapy to prevent kidney failure after heart transplantation. J Heart Lung Transplant 12(2): 209–217PubMedGoogle Scholar
  16. 16.
    Ramamoorthy C, Rooney M, Dries D et al (1992) Aggressive hydration during continuous positive-pressure ventilation restores atrial transmural pressure, plasma atrial natriuretic peptide concentrations, and renal function. Crit Care Med 20(7): 1014–1019PubMedCrossRefGoogle Scholar
  17. 17.
    Desjars P, Pinaud M, Bugnon D et al (1989) Norepinephrine therapy has no deleterious renal effects in human septic shock. Crit Care Med 17(5): 426–429PubMedCrossRefGoogle Scholar
  18. 18.
    Martin C, Papazian L, Perrin G et al (1993) Norepinephrine or dopamine for the treatment of hyperdynamic septic shock. Chest 103: 1826–1831PubMedCrossRefGoogle Scholar
  19. 19.
    Brezis M, Agmon Y, Epstein F (1994) Determinants of intrarenal oxygenation I. Effects of diuretics. Am J Physiol 36: F1059–F1062Google Scholar
  20. 20.
    Brezis M, Rosen S, Silva P et al (1984) Transport activity modifies thick ascending limb damage in the isolated perfused kidney. Kidney Int 25: 65–72PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia, Milano 1998

Authors and Affiliations

  • M. Palazzo

There are no affiliations available

Personalised recommendations