Renal failure associated with unrecognized hyperoncotic states after pediatric heart surgery

被引:11
作者
Bartels, C
Hadzik, B
Abel, M
Roth, B
机构
[1] UNIV COLOGNE,DEPT CARDIOVASC SURG,MED CTR,D-50924 COLOGNE,GERMANY
[2] UNIV COLOGNE,MED CTR,DEPT ANESTHESIOL & INTENS CARE MED,D-50924 COLOGNE,GERMANY
[3] UNIV COLOGNE,MED CTR,DEPT PEDIAT & NEONATAL INTENS CARE,D-50924 COLOGNE,GERMANY
关键词
pediatric heart surgery; colloid osmotic pressure; renal failure;
D O I
10.1007/BF01712174
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Despite severe alteration of transcapillary fluid exchange during cardiopulmonary bypass, colloid osmotic pressure is not routinely assessed. Infusion therapy during pediatric heart surgery is determined by clinical parameters and on the basis of total plasma protein level alone. Following this concept, postoperative renal dysfunction associated with unrecognized hyperoncotic disturbances has been observed in two children. Hyperoncotic states may not be identified by routine laboratory parameters.
引用
收藏
页码:492 / 494
页数:3
相关论文
共 7 条
[1]   DETERMINATION AND CLINICAL-SIGNIFICANCE OF COLLOID OSMOTIC-PRESSURE IN PED PATIENTS [J].
ABEL, M .
KLINISCHE PADIATRIE, 1985, 197 (05) :392-397
[2]  
BARCLAY SA, 1987, INTENS CARE MED, V13, P114
[3]  
GRUNDMANN R, 1982, MUNCHEN MED WOCHEN, V124, P937
[4]  
LADEGAAR.HJ, 1969, ACTA CHIR SCAND, V135, P95
[5]   ACUTE-RENAL-FAILURE ASSOCIATED WITH ELEVATED PLASMA ONCOTIC PRESSURE [J].
MORAN, M ;
KAPSNER, C .
NEW ENGLAND JOURNAL OF MEDICINE, 1987, 317 (03) :150-153
[6]   RELATIONSHIP BETWEEN COLLOID OSMOTIC-PRESSURE AND PLASMA-PROTEIN CONCENTRATION IN DOG [J].
NAVAR, PD ;
NAVAR, LG .
AMERICAN JOURNAL OF PHYSIOLOGY, 1977, 233 (02) :H295-H298
[7]  
STARLING EH, 1886, J PHYSIOL-LONDON, V9, P568