Abstract:
OBJECTIVE:To investigate the correlation between microalbuminuria and extravascular lung water in patients in septic shock who require mechanical ventilation for severe respiratory failure. DESIGN AND SETTING:Prospective, observational, clinical study in the 20-bed intensive care unit of a university hospital. PATIENTS AND PARTICIPANTS:25 consecutive patients in septic shock and also in severe respiratory failure requiring mechanical ventilation. INTERVENTIONS:Hemodynamic parameters and extravascular lung water were determined by single arterial thermodilution. Together with each hemodynamic measurement the PaO(2)/FIO(2) ratio and urinary microalbumin to creatinine ratio (M:Cr) was measured. Serum C-reactive protein (CRP) and procalcitonin (PCT) levels were also determined daily. MEASUREMENTS AND RESULTS:The EVLW index was significantly higher than normal throughout the study. Microalbuminuria was in the normal range on entry and remained so for the rest of the study period. Serum PCT and CRP levels were significantly higher than normal at every assessment points. No significant correlation was found between M:Cr and either EVLW or PaO(2)/FIO(2). CONCLUSIONS:In this study patients in septic shock with significantly elevated EVLW had normal urinary M:Cr, and there was no correlation between M:Cr and EWLV, and PaO(2)/FIO(2). Therefore based on the current results routine measurements of microalbuminuria to determine endothelial permeability cannot be recommended in critically ill patients.
journal_name
Intensive Care Medjournal_title
Intensive care medicineauthors
Molnár Z,Szakmány T,Heigl Pdoi
10.1007/s00134-003-1651-0keywords:
subject
Has Abstractpub_date
2003-03-01 00:00:00pages
391-5issue
3eissn
0342-4642issn
1432-1238journal_volume
29pub_type
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更新日期:2007-03-01 00:00:00
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更新日期:2013-05-01 00:00:00
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更新日期:2011-08-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s001340100935
更新日期:2001-05-01 00:00:00
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pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2014-02-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:2012-04-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2000-11-01 00:00:00
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更新日期:2020-12-01 00:00:00
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更新日期:1987-01-01 00:00:00
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journal_title:Intensive care medicine
pub_type: 杂志文章
doi:10.1007/s00134-009-1623-0
更新日期:2009-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s001340100891
更新日期:2001-05-01 00:00:00
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doi:10.1007/s00134-003-1669-3
更新日期:2003-04-01 00:00:00
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更新日期:2013-07-01 00:00:00
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更新日期:1993-01-01 00:00:00
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更新日期:2000-02-01 00:00:00
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更新日期:2010-08-01 00:00:00
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更新日期:1998-03-01 00:00:00
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更新日期:2000-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:2013-04-01 00:00:00
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journal_title:Intensive care medicine
pub_type: 杂志文章
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更新日期:1987-01-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:1996-03-01 00:00:00
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更新日期:2003-01-01 00:00:00
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更新日期:2020-11-01 00:00:00