Assessment of glomerular and tubular function to guide fluid management in a pre-eclamptic critical patient with oliguria and volume overload: case report

Elena Simón Polo; Beatriz Carretero de la Encarnación; Julian de Capadocia Rosell; Jose Angel Monsalve Naharro; Manuel Gerónimo Pardo

doi:10.5114/ait.2021.105576

eISSN: 1731-2531
ISSN: 1642-5758

Anaesthesiology Intensive Therapy

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abstract:

Letter to the Editor

Assessment of glomerular and tubular function to guide fluid management in a pre-eclamptic critical patient with oliguria and volume overload: case report

Elena Simón Polo

¹

,

Beatriz Carretero de la Encarnación

¹

,

Julian de Capadocia Rosell

¹

,

Jose Angel Monsalve Naharro

¹

,

Manuel Gerónimo Pardo

¹

Complejo Hospitalario Universitario de Albacete, Spain

Anaesthesiol Intensive Ther 2021; 53, 4: 360–362

DOI: https://doi.org/10.5114/ait.2021.105576

Online publish date: 2021/04/27

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AMA

Simón Polo E, Carretero de la Encarnación B, de Capadocia Rosell J, Angel Monsalve Naharro J, Gerónimo Pardo M. Assessment of glomerular and tubular function to guide fluid management in a pre-eclamptic critical patient with oliguria and volume overload: case report. Anaesthesiology Intensive Therapy. 2021;53(4):360-362. doi:10.5114/ait.2021.105576.

APA

Simón Polo, E., Carretero de la Encarnación, B., de Capadocia Rosell, J., Angel Monsalve Naharro, J.,  & Gerónimo Pardo, M. (2021). Assessment of glomerular and tubular function to guide fluid management in a pre-eclamptic critical patient with oliguria and volume overload: case report. Anaesthesiology Intensive Therapy, 53(4), 360-362. https://doi.org/10.5114/ait.2021.105576

Chicago

Simón Polo, Elena, Beatriz Carretero de la Encarnación, Julian de Capadocia Rosell, Jose Angel Monsalve Naharro,  and Manuel Gerónimo Pardo. 2021. "Assessment of glomerular and tubular function to guide fluid management in a pre-eclamptic critical patient with oliguria and volume overload: case report". Anaesthesiology Intensive Therapy 53 (4): 360-362. doi:10.5114/ait.2021.105576.

Harvard

Simón Polo, E., Carretero de la Encarnación, B., de Capadocia Rosell, J., Angel Monsalve Naharro, J.,  and Gerónimo Pardo, M. (2021). Assessment of glomerular and tubular function to guide fluid management in a pre-eclamptic critical patient with oliguria and volume overload: case report. Anaesthesiology Intensive Therapy, 53(4), pp.360-362. https://doi.org/10.5114/ait.2021.105576

MLA

Simón Polo, Elena et al. "Assessment of glomerular and tubular function to guide fluid management in a pre-eclamptic critical patient with oliguria and volume overload: case report." Anaesthesiology Intensive Therapy, vol. 53, no. 4, 2021, pp. 360-362. doi:10.5114/ait.2021.105576.

Vancouver

Simón Polo E, Carretero de la Encarnación B, de Capadocia Rosell J, Angel Monsalve Naharro J, Gerónimo Pardo M. Assessment of glomerular and tubular function to guide fluid management in a pre-eclamptic critical patient with oliguria and volume overload: case report. Anaesthesiology Intensive Therapy. 2021;53(4):360-362. doi:10.5114/ait.2021.105576.

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Oliguria in the setting of critically ill patients is usually treated by administering fluids and furosemide [1]. Invasive therapies, namely renal replacement therapies (RRT), are reserved for patients in whom less invasive measures have failed [2], especially if acute pulmonary oedema complicates the clinical picture [1]. Intravascular volume depletion elicits a kidney response consisting of augmented sodium retention at Henle’s loop and water at the collecting tubules. In such conditions, loop diuretics such as furosemide would be less effective to improve diuresis and water loss than osmotic diuretics such as mannitol [3, 4]. This case report aims to highlight the utility of the assessment of the glomerular and tubular functions to identify an ineffective diuretic strategy and to select a successful one, which prevented the use of invasive RRT. A 33-year-old female patient suffering from preeclampsia (gestational age was 35 + 6 weeks) was admitted to our Post-surgical Intensive Care Unit (PICU) after an urgent caesarean section performed under spinal anaesthesia, without further incidents.

Assessment of glomerular and tubular function to guide fluid management in a pre-eclamptic critical patient with oliguria and volume overload: case report

Elena Simón Polo 1 , Beatriz Carretero de la Encarnación 1 , Julian de Capadocia Rosell 1 , Jose Angel Monsalve Naharro 1 , Manuel Gerónimo Pardo 1

Elena Simón Polo

¹

,

Beatriz Carretero de la Encarnación

¹

,

Julian de Capadocia Rosell

¹

,

Jose Angel Monsalve Naharro

¹

,

Manuel Gerónimo Pardo

¹