Abstract
4/2021
vol. 53
Letter to the Editor
Assessment of glomerular and tubular function to guide fluid management in a pre-eclamptic critical patient with oliguria and volume overload: case report
- Complejo Hospitalario Universitario de Albacete, Spain
Anestezjologia Intensywna Terapia 2021; 53, 4: 360–362
Online publish date: 2021/12/22
Oliguria in the setting of critically ill patients is usually treated by administering fluids and furosemide [1]. Invasive therapies, namely renal replacement therapies (RRT), are reserved for patients in whom less invasive measures have failed [2], especially if acute pulmonary oedema complicates the clinical picture [1].
Intravascular volume depletion elicits a kidney response consisting of augmented sodium retention at Henle’s loop and water at the collecting tubules. In such conditions, loop diuretics such as furosemide would be less effective to improve diuresis and water loss than osmotic diuretics such as mannitol [3, 4].
Intravascular volume depletion elicits a kidney response consisting of augmented sodium retention at Henle’s loop and water at the collecting tubules. In such conditions, loop diuretics such as furosemide would be less effective to improve diuresis and water loss than osmotic diuretics such as mannitol [3, 4].