Intra-abdominal Pressure and Renal Function

Intra-abdominal Pressure and Renal Function: The Venous Side of the Road

PulmCCM - Jul142016 - By JE

"An' it ain't no use in turnin' on your light, babe, I'm on the dark side of the road ..."

-Bob Dylan

"A 44 year old man with cryptogenic cirrhosis is admitted with large ascites and acute kidney injury. A 50 mL, diagnostic paracentesis reveals 12 PMNs and he is admitted from the emergency department for further evaluation of his renal dysfunction. On the medical floor, initial urine sodium is < 10 mEq/L and urine osmolality is 1100 mOsm/kg. He is labeled as ‘pre-renal’ and given 3 litres of lactated ringers overnight. The following morning, his urine output is minimal and his creatinine has quintupled..."