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Oliguria in critically ill patients: a narrative review

Klein, S.J., Lehner, G.F., Forni, L.G. and Joannidis, M. (2018) Oliguria in critically ill patients: a narrative review Journal of Nephrology, 31 (6). pp. 855-862.

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Abstract

Oliguria is often observed in critically ill patients. However, different thresholds in urine output (UO) have raised discussion as to the clinical importance of a transiently reduced UO of less than 0.5 ml/kg/h lasting for at least 6 h. While some studies have demonstrated that isolated oliguria without a concomitant increase in serum creatinine is associated with higher mortality rates, different underlying pathophysiological mechanisms suggest varied clinical importance of reduced UO, as some episodes of oliguria may be fully reversible. We aim to explore the clinical relevance of oliguria in critically ill patients and propose a clinical pathway for the diagnostic and therapeutic management of an oliguric, critically ill patient.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Biosciences and Medicine
Authors :
NameEmailORCID
Klein, S.J.
Lehner, G.F.
Forni, L.G.l.forni@surrey.ac.uk
Joannidis, M.
Date : 8 October 2018
DOI : 10.1007/s40620-018-0539-6
Copyright Disclaimer : © The Author(s) 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Uncontrolled Keywords : Oliguria; Acute kidney injury; Renal replacement therapy; Biomarke
Additional Information : Open access funding provided by University of Innsbruck and Medical University of Innsbruck.
Depositing User : Diane Maxfield
Date Deposited : 25 Oct 2019 13:59
Last Modified : 25 Oct 2019 13:59
URI: http://epubs.surrey.ac.uk/id/eprint/852708

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