A Dramatic Presentation of Pulmonary Edema Due to Renal Failure

Farha, Natalie; Munguti, Cyrus

doi:10.17161/kjm.v13i1.13529

Cited by 6 publications

(6 citation statements)

References 6 publications

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“…Conservative management of volume overload, metabolic acidosis, and hyperkalemia can be attempted before considering initiation of kidney replacement therapy (KRT) ( 46 ). Careful fluid management is important to consider as a modality to reduce the risk of non-cardiogenic pulmonary edema, commonly associated with ARDS ( 50 , 51 , 52 ). SARS, MERS, and sepsis have been successfully treated in the past with continuous renal replacement therapy (CRRT).…”

Section: Discussionmentioning

confidence: 99%

“…Shaikh et al describe methods for potentially delaying KRT to conserve valuable resources during hospital surges, including escalating dosages of IV loop diuretics in patients with volume overload, IV sodium bicarbonate solution in patients with severe metabolic acidosis, and use of rapid-acting potassium binders such as sodium zirconium cyclosilicate for hyperkalemia ( 46 ). Careful fluid management is important to consider as a modality to reduce the risk of non-cardiogenic pulmonary edema, commonly associated with ARDS ( 50 , 51 , 52 ). In the absence of shock and hypotension, fluid conservative therapy is recommended to achieve a negative fluid balance of 0.5-1.0 L per day ( 47 , 52 ).…”

Section: Treatment Of Covid-19 Related Kidney Injurymentioning

confidence: 99%

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COVID-19 impact on the renal system: Pathophysiology and clinical outcomes

Kaye

Okeagu

Tortorich

et al. 2021

Best Practice & Research Clinical Anaesthesiology

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COVID-19 has numerous deleterious effects throughout the body. Prior studies had shown that the incidence of acute kidney injury in COVID-19 patients could be as high as 25%. There are also autopsy reports showing evidence of viral tropism to the renal system. In this regard, COVID-19 can damage the kidneys and increase a patient's risk of requiring dialysis. Available evidence suggests that renal involvement in COVID-19 infection is not uncommon, and there has been an increased incidence of chronic kidney disease related to the pandemic. In this present review, we address COVID-19 and its effects on the renal system, including the pathophysiologic mechanisms. We also address current studies on the causes of injury to the renal system, the cause of kidney failure, its effect on mortality, the impact on dialysis patients, and the impact on renal transplant patients. COVID-19 disease may have unique features in individuals on chronic dialysis and kidney transplant recipients, requiring increased vigilance in limiting viral transmission in perioperative, in-patient, and dialysis center settings.

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Section: Discussionmentioning

confidence: 99%

Section: Treatment Of Covid-19 Related Kidney Injurymentioning

confidence: 99%

COVID-19 impact on the renal system: Pathophysiology and clinical outcomes

Kaye

Okeagu

Tortorich

et al. 2021

Best Practice & Research Clinical Anaesthesiology

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show abstract

“…Kidney function is also closely related to the development of pulmonary edema [ 57 , 61 , 62 ]. We evaluated renal function in terms of the preoperative GFR, intraoperative oliguria, and postoperative creatinine and found that increased postoperative creatinine increased the risk of postoperative pulmonary edema.…”

Section: Discussionmentioning

confidence: 99%

Effect of Intra- and Post-Operative Fluid and Blood Volume on Postoperative Pulmonary Edema in Patients with Intraoperative Massive Bleeding

Kwon

Kim

Lee

et al. 2021

JCM

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In patients with intraoperative massive bleeding, the effects of fluid and blood volume on postoperative pulmonary edema are uncertain. Patients with intraoperative massive bleeding who had undergone a non-cardiac surgery in five hospitals were enrolled in this study. We evaluated the association of postoperative pulmonary edema risk and intra- and post-operatively administered fluid and blood volumes in patients with intraoperative massive bleeding. In total, 2090 patients were included in the postoperative pulmonary edema analysis, and 300 patients developed pulmonary edema within 72 h of the surgery. The postoperative pulmonary edema with hypoxemia analysis included 1660 patients, and the condition occurred in 161 patients. An increase in the amount of red blood cells transfused per hour after surgery increased the risk of pulmonary edema (hazard ratio: 1.03; 95% confidence interval: 1.01–1.05) p = 0.013) and the risk of pulmonary edema with hypoxemia (hazard ratio: 1.04; 95% confidence interval: 1.01–1.07; p = 0.024). An increase in the red blood cells transfused per hour after surgery increased the risk of developing pulmonary edema. This increase can be considered as a risk factor for pulmonary edema.

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“…Kidney function may also be closely related to the development of pulmonary edema. [57,61,62] Our study evaluated renal function with preoperative glomerular ltration rate, intraoperative oliguria, and increased postoperative creatinine, and it was found that increased postoperative creatinine increased the risk of postoperative pulmonary edema. The kidneys play an important role in many homeostasis mechanisms in the body and communicate with the lungs by regulating acid-base balance, increasing oxygen-carrying capacity through red blood cell production, and regulating blood pressure through the renin-angiotensin-aldosterone axis.…”

Section: Discussionmentioning

confidence: 99%

Effect of Intra- and Postoperative Fluid and Blood Volume on Postoperative Pulmonary Edema in Patients With Intraoperative Massive Bleeding: Multi-Center Cohort Study Using Time Varying Analysis

Kwon¹,

Choi²,

Lee³

et al. 2020

Preprint

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BackgroundIn patients with massive bleeding during surgery, the effect of intra- and postoperative fluid and blood volume on postoperative pulmonary edema is uncertain. The aim of this study is evaluating the occurrence risk relationship through time-varying analysis between postoperative pulmonary edema and intra- and postoperatively administered volume of fluid and blood in patients with intraoperative massive bleeding.MethodsThis study is a retrospective cohort study and data was obtained from the clinical data warehouse at Hallym University Medical Center, a multi-institutional data registry of 5 hospitals of Hallym University. Patients with intraoperative massive bleeding (≥40% of average blood volume) and who underwent a non-cardiac surgery at 5 hospitals between January 1, 2010, and December 31, 2019 were enrolled the study. The primary outcome was postoperative pulmonary edema occurrence within 72 hours after surgery. Secondary outcomes were postoperative pulmonary edema with hypoxemia. ResultsIn total, 2090 patients were included in the postoperative pulmonary edema analysis, and 300 patients developed pulmonary edema within 72 hours after surgery. The postoperative pulmonary edema hypoxemia analysis with hypoxia included 1660 patients; pulmonary edema with hypoxemia occurred in 161 patients. The increase in the amount of red blood cells/average blood volume/hour after surgery increased the risk of developing pulmonary edema after surgery (hazard ratio: 1.03, 95% confidence interval [1.01–1.05], P = 0.013) and the risk of developing pulmonary edema with hypoxemia (hazard ratio: 1.04, 95% confidence interval [1.01–1.07], P = 0.024).ConclusionIn this study, an increase in the transfusion of red blood cells per hour after surgery increased the risk of developing pulmonary edema after surgery. This increase can be considered a risk factor for the incidence of pulmonary edema.

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A Dramatic Presentation of Pulmonary Edema Due to Renal Failure

Cited by 6 publications

References 6 publications

COVID-19 impact on the renal system: Pathophysiology and clinical outcomes

COVID-19 impact on the renal system: Pathophysiology and clinical outcomes

Effect of Intra- and Post-Operative Fluid and Blood Volume on Postoperative Pulmonary Edema in Patients with Intraoperative Massive Bleeding

Effect of Intra- and Postoperative Fluid and Blood Volume on Postoperative Pulmonary Edema in Patients With Intraoperative Massive Bleeding: Multi-Center Cohort Study Using Time Varying Analysis

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