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Nonoliguric Acute Renal Failure

Nonoliguric Acute Renal Failure Abstract • Nonoliguric acute renal failure is being recognized more commonly as a frequent initial observation for azotemia. Use of automated biochemical monitoring, aminoglycoside antibiotic utilization, and administration of potent diuretics and mannitol in settings of oliguria all contribute to its increased incidence. There appears to be less morbidity and mortality in patients with nonoliguric acute renal failure, and diagnostic urinary indexes suggest less of an insult to renal function. This article reviews the available literature and explores the reasons for the increased frequency of recognition of nonoliguric acute renal failure. Another aim is to compare nonoliguric acute renal failure with the oliguric form because there are important differences to be recognized by the clinician. (Arch Intern Med 1982;142:1882-1884) References 1. Shen SC, Ham TH, Fleming EM: Studies on the destruction of red blood cells. N Engl J Med 1943;229:701-713.Crossref 2. Baek S, Makabali GG, Shoemaker WC: Clinical determinants of survival from postoperative renal failure. Surg Gynecol Obstet 1975;140: 685-689. 3. Minuth AN, Terrell JB, Suki WN: Acute renal failure: A study of the course and prognosis of 104 patients and of the role of furosemide. Am J Med Sci 1976;271:317-324.Crossref 4. Anderson RJ, Linas SL, Berns AS, et al: Nonoliguric acute renal failure. N Engl J Med 1977;296:1134-1138.Crossref 5. McMurray SD, Luft FC, Maxwell DR, et al: Prevailing patterns and predictor variables in patients with acute tubular necrosis. Arch Intern Med 1978;138:950-955.Crossref 6. HilbermanM, Myers BD, Carrie BJ, et al: Acute renal failure following cardiac surgery. J Thorac Cardiovasc Surg 1979;77:880-888. 7. Meyers C, Roxe DM, Hano JE: The clinical course of nonoliguric acute renal failure. Cardiovasc Med 1977;2:669-672. 8. Vertel RM, Knochel JP: Nonoliguric acute renal failure. JAMA 1967;200:598-602.Crossref 9. Danovitch G, Carvounis C, Weinstein E, et al: Nonoliguric acute renal failure. Isr J Med Sci 1979;15:5-8. 10. Singh R, Leb D, Brooks D, et al: Nonoliguric acute tubular necrosis, abstracted. Kidney Int 1974;6:98A. 11. Miller PD, Krebs RA, Neal BJ, et al: Polyuric perenal failure. Arch Intern Med 1980;140:907-909.Crossref 12. Kaloyanides GJ, Pastoriza-Munoz E: Aminoglycoside nephrotoxicity. Kidney Int 1980;18:571-582.Crossref 13. Anderson RJ, Gordon JA, Kin J, et al: Renal concentration defect following nonoliguric acute renal failure in the rat. Kidney Int 1982;21: 583-591.Crossref 14. Epstein M, Schneider NS, Befeler B: Effect of intrarenal furosemide on renal function and intrarenal hemodynamics in acute renal failure. Am J Med 1975;58:510-516.Crossref 15. Kleinknecht D, Ganeval D, Gonzalez-Duque LA, et al: Furosemide in acute oliguric renal failure: A controlled trial. Nephron 1976;17:51-58.Crossref 16. Brown CB, Ogg CS, Cameron JS: High-dose furosemide in acute renal failure: A controlled trial. Clin Nephrol 1981;15:90-96. 17. Schrier RW, Gardenswartz MH, Burke TJ: Acute renal failure: Pathogenesis, diagnosis and treatment. Adv Nephrol 1981;10:213-240. 18. Cantarovich F, Galli C, Benedetti L, et al: High-dose furosemide in established acute renal failure. Br Med J 1973;4:449-450.Crossref 19. Cronin RE, DeTorrente A, Miller PD, et al: Pathogenetic mechanism in early norepinephrine-induced acute renal failure: Functional and histological correlates of protection. Kidney Int 1978;14:115-125.Crossref 20. DeTorrente A, Miller PD, Cronin RE, et al: Effects of furosemide and acetylcholine in norepinephrine-induced acute renal failure. Am J Physiol 1978;235:131-136. 21. Counahan R, Cameron JS, Ogg CS, et al: Presentation, management, complications, and outcome of acute renal failure in childhood. Br Med J 1977;1:599-602.Crossref 22. Diamond JR, Yoburn DC: Nonoliguric acute renal failure associated with a low fractional excretion of sodium. Ann Intern Med 1982;96:597-600.Crossref 23. Epstein M, Levinson R, Sancho J, et al: Characterization of the reninaldosterone system in decompensated cirrhosis. Circ Res 1977;41:818-829.Crossref 24. Myers BD, Hilberman M, Spencer RJ, et al: Glomerular and tubular function in non-oliguric acute renal failure. Am J Med 1982;72:642-649.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1982.00340230128022
Publisher site
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Abstract

Abstract • Nonoliguric acute renal failure is being recognized more commonly as a frequent initial observation for azotemia. Use of automated biochemical monitoring, aminoglycoside antibiotic utilization, and administration of potent diuretics and mannitol in settings of oliguria all contribute to its increased incidence. There appears to be less morbidity and mortality in patients with nonoliguric acute renal failure, and diagnostic urinary indexes suggest less of an insult to renal function. This article reviews the available literature and explores the reasons for the increased frequency of recognition of nonoliguric acute renal failure. Another aim is to compare nonoliguric acute renal failure with the oliguric form because there are important differences to be recognized by the clinician. (Arch Intern Med 1982;142:1882-1884) References 1. Shen SC, Ham TH, Fleming EM: Studies on the destruction of red blood cells. N Engl J Med 1943;229:701-713.Crossref 2. Baek S, Makabali GG, Shoemaker WC: Clinical determinants of survival from postoperative renal failure. Surg Gynecol Obstet 1975;140: 685-689. 3. Minuth AN, Terrell JB, Suki WN: Acute renal failure: A study of the course and prognosis of 104 patients and of the role of furosemide. Am J Med Sci 1976;271:317-324.Crossref 4. Anderson RJ, Linas SL, Berns AS, et al: Nonoliguric acute renal failure. N Engl J Med 1977;296:1134-1138.Crossref 5. McMurray SD, Luft FC, Maxwell DR, et al: Prevailing patterns and predictor variables in patients with acute tubular necrosis. Arch Intern Med 1978;138:950-955.Crossref 6. HilbermanM, Myers BD, Carrie BJ, et al: Acute renal failure following cardiac surgery. J Thorac Cardiovasc Surg 1979;77:880-888. 7. Meyers C, Roxe DM, Hano JE: The clinical course of nonoliguric acute renal failure. Cardiovasc Med 1977;2:669-672. 8. Vertel RM, Knochel JP: Nonoliguric acute renal failure. JAMA 1967;200:598-602.Crossref 9. Danovitch G, Carvounis C, Weinstein E, et al: Nonoliguric acute renal failure. Isr J Med Sci 1979;15:5-8. 10. Singh R, Leb D, Brooks D, et al: Nonoliguric acute tubular necrosis, abstracted. Kidney Int 1974;6:98A. 11. Miller PD, Krebs RA, Neal BJ, et al: Polyuric perenal failure. Arch Intern Med 1980;140:907-909.Crossref 12. Kaloyanides GJ, Pastoriza-Munoz E: Aminoglycoside nephrotoxicity. Kidney Int 1980;18:571-582.Crossref 13. Anderson RJ, Gordon JA, Kin J, et al: Renal concentration defect following nonoliguric acute renal failure in the rat. Kidney Int 1982;21: 583-591.Crossref 14. Epstein M, Schneider NS, Befeler B: Effect of intrarenal furosemide on renal function and intrarenal hemodynamics in acute renal failure. Am J Med 1975;58:510-516.Crossref 15. Kleinknecht D, Ganeval D, Gonzalez-Duque LA, et al: Furosemide in acute oliguric renal failure: A controlled trial. Nephron 1976;17:51-58.Crossref 16. Brown CB, Ogg CS, Cameron JS: High-dose furosemide in acute renal failure: A controlled trial. Clin Nephrol 1981;15:90-96. 17. Schrier RW, Gardenswartz MH, Burke TJ: Acute renal failure: Pathogenesis, diagnosis and treatment. Adv Nephrol 1981;10:213-240. 18. Cantarovich F, Galli C, Benedetti L, et al: High-dose furosemide in established acute renal failure. Br Med J 1973;4:449-450.Crossref 19. Cronin RE, DeTorrente A, Miller PD, et al: Pathogenetic mechanism in early norepinephrine-induced acute renal failure: Functional and histological correlates of protection. Kidney Int 1978;14:115-125.Crossref 20. DeTorrente A, Miller PD, Cronin RE, et al: Effects of furosemide and acetylcholine in norepinephrine-induced acute renal failure. Am J Physiol 1978;235:131-136. 21. Counahan R, Cameron JS, Ogg CS, et al: Presentation, management, complications, and outcome of acute renal failure in childhood. Br Med J 1977;1:599-602.Crossref 22. Diamond JR, Yoburn DC: Nonoliguric acute renal failure associated with a low fractional excretion of sodium. Ann Intern Med 1982;96:597-600.Crossref 23. Epstein M, Levinson R, Sancho J, et al: Characterization of the reninaldosterone system in decompensated cirrhosis. Circ Res 1977;41:818-829.Crossref 24. Myers BD, Hilberman M, Spencer RJ, et al: Glomerular and tubular function in non-oliguric acute renal failure. Am J Med 1982;72:642-649.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Oct 1, 1982

References