Die Ursachen des akuten Nierenversagens nach Herz-Lungen-Maschinen-Operationen

Brunner, L; Heisig, B; Scheler, F.; Stapenhorst, K; Tauschke, D; Baumgarten, Clive M.; Hoffmeister, H. E.; Kirchhoff, P. G.; Rastan, H; Regensburger, D.; Stunkat, R; Vivie, R. de; Koncz, J

doi:10.1055/s-0028-1098971

Cited by 2 publications

(3 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The flow was 2.4 l/m 2 bod y surface at 37°C and adjusted to lower temp erat ures. Inter mitt en t cold potassium cardioplegia was applied according to the method of Bleese and co-workers (4) . If there was a need fo r circulatory support after the op erat ion, dop am ine was administered in a dosis of 0.2 to 1.6 pg/ kg/m in.…”

Section: Aut Ho R Totalmentioning

confidence: 99%

Serious Acute Renal Failure following Open Heart Surgery

Hm¹,

Aj²,

Ja³

1985

Thorac cardiovasc Surg

View full text Add to dashboard Cite

richt. The Net herla nds Cu rren tly at the Depart men t of Mat hem atical Statistics. Cen tre fo r Math e matics an d Compu ter Science. Ams terdam , T he Nethe rla nds Summ ary T he influence o f 5 1 p reo pera t ive , per o pe rat lve a nd postoperati ve variables o n the deve lopment of serio us acute ren al fa ilu re (A AFI fo llowing open hea rt surgery was stud ied. Alt ho ugh a large numbe r of significa n t varia ble s was fo u nd , a leg it-mode l with o nly 2 ex p lanatory var iables shewed an almos t perfect fit. With t his model th e cha nces of serious ARF up to 90 % were estimated. T he results suggest that a critical circu lat ion is th e main ca use o f ser ious ARF. Furt he rmore , a reduce d ab ilit y to co pe with a crit ica l circ u lation without renal failu re p lays an importa n t role in th e pathogenes is. The re is a h igher risk o f ser io us A RF for patient s o lder t ha n 70 , especial ly whe n c ircu lato ry su p po rt wit h dopamine is needed. Key-wo rds : Acute ren a1 failure-Co m p licat ion of o pe n hear t surgery-Multivar iate ana lysis difficul ty of and complications dur ing the operation (I). The degree of postoperative hem odyn amic impairment (I , 7). Some au thors (7, 8) co nclude that the pathogenesis of ARF is mu ltifactorial. In such a case a mu lt ivariate statistical analysis is app rop riate. However, up to now only univariate statistical techniques have been em ployed. Our aim was to perform a retro spec tive study of serious ARF, to investigate its mu ltifactori al natu re. Methods A pati ent was classified as having serious ARF if at least one of the follo wing criteria was present :

show abstract

Section: Aut Ho R Totalmentioning

confidence: 99%

Serious Acute Renal Failure following Open Heart Surgery

Hm¹,

Aj²,

Ja³

1985

Thorac cardiovasc Surg

View full text Add to dashboard Cite

show abstract

“…Altogether, the occurrence of pathologic CH 2 O values proved to be the earliest, most frequent and most reliable criterion for the recognition of ARF following cardiac surgery with cardiac-pulmonary bypass. Key-Words: Acute renal failure -Cardiac surgery -Cardiopulmonary bypass -Free water clearance Table 1 Acute renal failure (ARF) following cardiac surgery Acute renal failure (ARF) following cardiac surgery, although a rare event, has a high mortality rate (Table 1) (4,6,7,9,12,13,17,18,20). In order to reduce its frequency it is necessary to establish the diagnosis as early as possible.…”

mentioning

confidence: 99%

“…Early criteria for recognition should therefore focus on pilot alterations typical of renal failure. Criteria for diagnosis reported in the literature are, however, not uniform (Table 2) (1,4,6,9,12,19). They include slight to large increases of serum urea and creatinine concentrations, oliguria, hyperkalemia, and, rarely, hypothenuria.…”

mentioning

confidence: 99%

The Diagnosis of Acute Renal Failure (ARF) Following Cardiac Surgery with Cardio-Pulmonary Bypass

Holper¹,

Struck²,

Sebening³

1979

Thorac cardiovasc Surg

View full text Add to dashboard Cite

The diagnostic value of renal concentrating capacity expressed as free water clearance (CH2O), in comparison with other routine criteria for the early identification of acute renal failure (ARF), was evaluated in 1,203 adult patients undergoing cardiac surgical procedures. On the basis of the appearance of pathologic CH2O values in the range of -20 to 0 ml/hour or more positive, reversible or irreversible ARF was observed in 90 (= 7.5%) of our patients. Mortality in the presence of ARF was 47%; total ARF mortality was 3.5%. CH2O was pathologic for the first time on an average of 1.6 days after operation. In contrast, routine ARF criteria reported in the literature, such as serum urea and creatinine at varying substrate levels or oliguria, allowed diagnosis 1 to 5.5 days later. Moreover, these parameters only partially and less frequently met the criteria for ARF at the different levels. Likewise, the incidence of ARF decreased to a minimum of 1.7% and the total ARF mortality to 1.3%, depending on the severity of the criteria used. Altogether, the occurrence of pathologic CH2O values proved to be the earliest, most frequent and most reliable criterion for the recognition of ARF following cardiac surgery with cardiac-pulmonary bypass.

show abstract

Die Ursachen des akuten Nierenversagens nach Herz-Lungen-Maschinen-Operationen

Cited by 2 publications

References 11 publications

Serious Acute Renal Failure following Open Heart Surgery

Serious Acute Renal Failure following Open Heart Surgery

The Diagnosis of Acute Renal Failure (ARF) Following Cardiac Surgery with Cardio-Pulmonary Bypass

Contact Info

Product

Resources

About