-
Anasth Intensivther Notfallmed · Feb 1986
[Changes in water balance and kidney function caused by cardiopulmonary bypass].
- F Thurner, E Böttinger, and T Pasch.
- Anasth Intensivther Notfallmed. 1986 Feb 1; 21 (1): 5-8.
AbstractThe authors studied in 42 patients, 35 normotensives and 7 hypertensives, undergoing open-heart surgery, the perioperative behaviour of renal function and fluid balance. Before cardio-pulmonary bypass (CPB), there was a prerenal impairment of renal function caused by reduced fluid intake. During CPB a marked osmolal diuresis without tubular failure occurred. The amount of positive fluid balance was proportional to the duration of CPB. In those hypertensive patients in whom CPB perfusion pressure was below 50 mmHg, the creatinine clearance decreased by 67% during this period. The results indicate that the extent of CPB-induced renal dysfunction is tolerable and does not result in renal failure provided an adequate perfusion pressure is maintained. However, the consequences of marked water retention for undisturbed vital organ function must be taken into consideration.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*,_underline_or**bold**. - Superscript can be denoted by
<sup>text</sup>and subscript<sub>text</sub>. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3., hyphens-or asterisks*. - Links can be included with:
[my link to pubmed](http://pubmed.com) - Images can be included with:
 - For footnotes use
[^1](This is a footnote.)inline. - Or use an inline reference
[^1]to refer to a longer footnote elseweher in the document[^1]: This is a long footnote..