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Acute renal failure in acute respiratory distress syndrome

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Critical Care Nephrology

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Abstract

Pulmonary edema is a prominent component of the acute respiratory distress syndrome (ARDS), especially during the first few days of the illness, responsible in large part for the disturbance in gas exchange and pulmonary mechanics. Accordingly, it seems reasonable to try to limit the accumulation and to hasten the resolution of pulmonary edema, if this goal can be reached with therapeutic maneuvers that don’t, themselves, contribute to the already high morbidity and mortality of this syndrome. A prime example of such a dilemma is the problem of trying to limit the development of pulmonary edema by manipulating fluid management, in which attempts at fluid restriction, diuresis, or even renal replacement therapy may have a negative impact on renal function. In this chapter, we review the evidence relevant to this long-standing, and to some extent, still unresolved, clinical predicament.

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Authors
  1. Daniel P. Schuster
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  2. David Windus
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© 1998 Springer Science+Business Media Dordrecht

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Schuster, D.P., Windus, D. (1998). Acute renal failure in acute respiratory distress syndrome. In: Critical Care Nephrology. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-5482-6_88

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  • DOI: https://doi.org/10.1007/978-94-011-5482-6_88

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6306-7

  • Online ISBN: 978-94-011-5482-6

  • eBook Packages: Springer Book Archive

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