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Oliguria and Fluid Management
ὀλίγος-uria ,[object Object],[object Object],[object Object],[object Object],[object Object],1) Klahr S, MillSB. Acute oliguria. N Engl J Med 1998;338: 671-675
© 2008 by the Society of Critical Care Medicine and Lippincott Williams & Wilkins.  Published by Lippincott Williams & Wilkins, Inc. 2 Figure 1. Acute kidney injury. Kellum, John;  MD, FCCM Critical Care Medicine.  Acute Kidney Injury in the ICU. 36(4) Suppl:S141-S145, April 2008. DOI: 10.1097/CCM.0b013e318168c4a4 Figure 1.  RIFLE criteria for acute kidney injury. GFR, glomerular filtration rate; UO, urine output; dec, decrease; ARF, acute renal failure; ESRD, end-stage renal disease. Used with permission from Bellomo et al (20). *GFR changes are shown for general reference only. The criteria fulfilled by changes in serum creatinine relative to baseline.
Epidemiology ,[object Object],[object Object],[object Object]
ICU admissions (excluding ESRD) 576 No AKI on admission 330 (57.3% of all ICU patients) Never develop AKI 197 (34.2% of all ICU patients) Ever AKI 379 (65.8% of all ICU patients ) AKI on admission 246 (42.7% of all ICU patients) New AKI 133 (40.3% of patients without AKI on admission) Partial renal recovery* 51 (13.5% of AKI patients) Complete renal recovery* 225 (59.4% of AKI patients) No renal recovery* 103 (27.2% of AKI patients) Garzotto, F, Pasquale P,  RIFLE-Based Data Collection/Management  System Applied to a Prospective Cohort Multicenter Italian Study on the Epidemiology of Acute Kidney Injury in the Intensive Care Unit. 2011
Oliguria ,[object Object],[object Object],[object Object],[object Object]
Oliguria ,[object Object],[object Object],[object Object],[object Object]
  Aetiology of acute renal failure. Fry A C , Farrington K Postgrad Med J 2006;82:106-116 ©2006 by The Fellowship of Postgraduate Medicine
Prerenal Oliguria ,[object Object],[object Object],[object Object],[object Object]
 
Oliguria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pre-renal Oliguria ,[object Object],[object Object],[object Object]
Renal injury ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 

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Oliguria and fluid management[1]

  • 1. Oliguria and Fluid Management
  • 2.
  • 3. © 2008 by the Society of Critical Care Medicine and Lippincott Williams & Wilkins. Published by Lippincott Williams & Wilkins, Inc. 2 Figure 1. Acute kidney injury. Kellum, John; MD, FCCM Critical Care Medicine. Acute Kidney Injury in the ICU. 36(4) Suppl:S141-S145, April 2008. DOI: 10.1097/CCM.0b013e318168c4a4 Figure 1. RIFLE criteria for acute kidney injury. GFR, glomerular filtration rate; UO, urine output; dec, decrease; ARF, acute renal failure; ESRD, end-stage renal disease. Used with permission from Bellomo et al (20). *GFR changes are shown for general reference only. The criteria fulfilled by changes in serum creatinine relative to baseline.
  • 4.
  • 5. ICU admissions (excluding ESRD) 576 No AKI on admission 330 (57.3% of all ICU patients) Never develop AKI 197 (34.2% of all ICU patients) Ever AKI 379 (65.8% of all ICU patients ) AKI on admission 246 (42.7% of all ICU patients) New AKI 133 (40.3% of patients without AKI on admission) Partial renal recovery* 51 (13.5% of AKI patients) Complete renal recovery* 225 (59.4% of AKI patients) No renal recovery* 103 (27.2% of AKI patients) Garzotto, F, Pasquale P, RIFLE-Based Data Collection/Management System Applied to a Prospective Cohort Multicenter Italian Study on the Epidemiology of Acute Kidney Injury in the Intensive Care Unit. 2011
  • 6.
  • 7.
  • 8.   Aetiology of acute renal failure. Fry A C , Farrington K Postgrad Med J 2006;82:106-116 ©2006 by The Fellowship of Postgraduate Medicine
  • 9.
  • 10.  
  • 11.
  • 12.
  • 13.
  • 14.  
  • 15.  
  • 16.  
  • 17.