Erschienen in:
01.10.2011 | Letter
Relation between mean arterial pressure and renal function in the early phase of shock: a prospective, explorative cohort study
verfasst von:
Frédéric M Jacobs
Erschienen in:
Critical Care
|
Ausgabe 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. …