Intensive Care Medicine

, Volume 22, Issue 5, pp 492–494

Renal failure associated with unrecognized hyperoncotic states after pediatric heart surgery

  • C. Bartels
  • B. Hadzik
  • M. Abel
  • B. Roth
Neonatal and Pediatric Intensive Care

DOI: 10.1007/BF01712174

Cite this article as:
Bartels, C., Hadzik, B., Abel, M. et al. Intensive Care Med (1996) 22: 492. doi:10.1007/BF01712174


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.

Key words

Pediatric heart surgery Colloid osmotic pressure Renal failure 

Copyright information

© Springer-Verlag 1996

Authors and Affiliations

  • C. Bartels
    • 1
  • B. Hadzik
    • 2
  • M. Abel
    • 3
  • B. Roth
    • 4
  1. 1.Department of Cardic SurgeryMedical University LübeckLübeckGermany
  2. 2.Department of Cardiovascular SurgeryUniversity of Cologne, Medical CenterCologneGermany
  3. 3.Department of Anesthesiology and Intensive Care MedicineUniversity of Cologne, Medical CenterCologneGermany
  4. 4.Department of Pediatric and Neonatal Intensive CareUniversity of Cologne, Medical CenterCologneGermany

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