La oliguria y su contexto

  • Osvaldo López Gastón Servicio de Terapia Intensiva, Hospital Español, Buenos Aires
  • María Laura Pastorino Servicio de Terapia Intensiva, Hospital Español, Buenos Aires
  • Juan Cogorno Servicio de Terapia Intensiva, Hospital Español, Buenos Aires
  • Juan Varela Servicio de Terapia Intensiva, Hospital Español, Buenos Aires

Resumen

La oliguria fue definida con un volumen urinario (VU) <400 ml/día. Los consensos del Grupo ADQI (Acute Dialysis Quality Initiative) a través de RIFLE y el AKIN (Acute Kidney Injury Network), incluyeron el VU en la estratificación de la injuria renal aguda (IRA) y consideraron que su medición horaria es un marcador sensible del compromiso de la función renal. El tema central es que el VU y la creatininemia son signos de alarma tardíos en la IRA. En la presente revisión se refieren la utilidad y limitaciones de los mismos así como de los índices bioquímicos urinarios. Se destaca la importancia de los nuevos biomarcadores de injuria que permitirán implementar medidas terapéuticas tempranas que mejoren la elevada morbimortalidad de la IRA.

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Publicado
2011-12-01
Cómo citar
1.
López Gastón O, Pastorino ML, Cogorno J, Varela J. La oliguria y su contexto. Rev Nefrol Dial Traspl. [Internet]. 1 de diciembre de 2011 [citado 6 de noviembre de 2024];31(4):170-7. Disponible en: http://vps-1689312-x.dattaweb.com/index.php/rndt/article/view/264
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Artículo Especial