Skip to main content
SpringerLink
Log in

Renal failure associated with unrecognized hyperoncotic states after pediatric heart surgery

  • Neonatal and Pediatric Intensive Care
  • Published:
Intensive Care Medicine Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Abel M (1985) Bestimmung und klinische Bedeutung des kolloidosmotischen Druckes bei pädiatrischen Patienten. Klin Padiatr 197:392–397

    Google Scholar 

  2. Grundmann R, Pichlmaier H (1982) Wertigkeit der postoperativen Bestimmung des kolloidosmotischen Druckes. Munch Med Wochenschr 124:937–940

    Google Scholar 

  3. Ladegaard-Peterson HJ (1969) Postoperative changes in blood volume and colloid osmotic pressure. Acta Chir Scan 135:95–104

    Google Scholar 

  4. Barclay SA, Bennett D (1987) The direct measurement of plasma colloid osmotic pressure is superior to colloid osmotic pressure derived from albumin or total protein. Intensive Care Med 13:114–118

    Google Scholar 

  5. Navar PD, Navar LG (1987) Relationship between colloid osmotic pressure and plasma protein concentration in dog. Am J Physiol 233:H295-H298

    Google Scholar 

  6. Starling EH (1886) On the absorption of fluids from the connective tissue spaces. J Physiol (Lond) 9:568–572

    Google Scholar 

  7. Moran M, Kaspner C (1987) Acute renal failure associated with elevated plasma oncotic pressure. N Engl J Med 317:150–153

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Cardic Surgery, Medical University Lübeck, Ratzeburger Allee 160, D-23538, Lübeck, Germany

    C. Bartels

  2. Department of Cardiovascular Surgery, University of Cologne, Medical Center, Josef-Stelzmann-Strasse 5, D-50924, Cologne, Germany

    B. Hadzik

  3. Department of Anesthesiology and Intensive Care Medicine, University of Cologne, Medical Center, Josef-Stelzmann-Strasse 5, D-50924, Cologne, Germany

    M. Abel

  4. Department of Pediatric and Neonatal Intensive Care, University of Cologne, Medical Center, Josef-Stelzmann-Strasse 5, D-50924, Cologne, Germany

    B. Roth

Authors
  1. C. Bartels
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. B. Hadzik
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. Abel
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. B. Roth
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bartels, C., Hadzik, B., Abel, M. et al. Renal failure associated with unrecognized hyperoncotic states after pediatric heart surgery. Intensive Care Med 22, 492–494 (1996). https://doi.org/10.1007/BF01712174

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01712174

Key words

Search

Navigation