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Critical Care
Published in: Critical Care 5/2011

01-10-2011 | Letter

Relation between mean arterial pressure and renal function in the early phase of shock: a prospective, explorative cohort study

Author: Frédéric M Jacobs

Published in: Critical Care | Issue 5/2011

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Excerpt

We read with interest the paper by Badin and colleagues [1] in a recent issue of Critical Care. The paper concerns the relation between arterial pressure and renal function in the early phase of shock. The authors found that a threshold of mean arterial pressure (MAP) of 72 to 82 mm Hg could be necessary to avoid acute kidney injury (AKI) in septic shock. This result was not found when sepsis was not the cause of shock. The authors state that this may be related to the loss of renal autoregulation ability in the early course of sepsis, thus explaining the absence of MAP threshold in non-septic shock. However, human studies on this subject are lacking and this hypothesis remains mainly theoretical. …
Literature
1.
Badin J, Boulain T, Ehrmann S, Skarzynski M, Bretagnol A, Buret J, Benzekri-Lefevre D, Mercier E, Runge I, Garot D, Mathonnet A, Dequin PF, Perrotin D: Relation between mean arterial pressure and renal function in the early phase of shock: a propective, explorative cohort. Crit Care. 2011, 15: R135-10.1186/cc10253.PubMedCentralCrossRefPubMed
2.
Malbrain ML, Chiumello D, Pelosi P, Bihari D, Innes R, Ranieri VM, Del Turco M, Wilmer A, Brienza N, Malcangi V, Cohen J, Japiassu A, De Keulenaer BL, Daelemans R, Jacquet L, Laterre PF, Frank G, de Souza P, Cesana B, Gattinoni L: Incidence and prognosis of intraabdominal hypertension in a mixed population of critically ill patients: a multiple-center epidemiological study. Crit Care Med. 2005, 33: 315-322. 10.1097/01.CCM.0000153408.09806.1B.CrossRefPubMed
3.
Murcia-Sáez IM, Sobrino-Hernandez ML, García-Lopez F, Córcoles-González V, Cortés-Monedero JL, Tendero-Egea A, Martínez-García A, Salinas-Sánchez AS: Usefulness of intra-abdominal pressure in a predominantly medical intensive care unit. J Crit Care. 2010, 25: 175.e1-6. 10.1016/j.jcrc.2009.05.017.CrossRef
4.
Regueira T, Bruhn A, Hasbun P, Aguirre M, Romero C, Llanos O, Castro R, Bugedo G, Hernandez G: Intra-abdominal hypertension: incidence and association with organ dysfunction during early septic shock. J Crit Care. 2008, 23: 461-467. 10.1016/j.jcrc.2007.12.013.CrossRefPubMed
5.
Jacobs FM, Pinot G, Pilorge C, Prat D, Brivet FG: Intra abdominal pressure elevation and its link with renal failure in medical intensive care patients [abstract]. Intensive Care Med. 2009, 35 (Suppl 1): s223-
6.
Dalfino L, Tullo L, Donadio I, Malcangi V, Brienza N: Intra-abdominal hypertension and acute renal failure in critically ill patients. Intensive Care Med. 2008, 34: 707-713. 10.1007/s00134-007-0969-4.CrossRefPubMed
Metadata
Title
Relation between mean arterial pressure and renal function in the early phase of shock: a prospective, explorative cohort study
Author
Frédéric M Jacobs
Publication date
01-10-2011
Publisher
BioMed Central
Published in
Critical Care / Issue 5/2011
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc10417

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