Management of Acute Renal Failure
Authors: William L. Jackson
Journal: Annals of Internal Medicine (2003)

Letters16 September 2003Management of Acute Renal FailureWilliam L. Jackson Jr., MDWilliam L. Jackson Jr., MDFrom Walter Reed Army Medical Center; Washington, DC 20307.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-139-6-200309160-00025 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Esson and Schrier (1) provided a valuable review of acute tubular necrosis (ATN). However, several of their assertions merit further discussion. First, use of the term pseudo acute respiratory distress syndrome (ARDS) should be discouraged. Patients with leaky pulmonary vasculature and resultant noncardiogenic pulmonary edema who meet criteria for ARDS according to the most recent consensus definition (2) have ARDS, not pseudo ARDS. A reduction in lung compliance (initially normal in pseudo ARDS, according to the authors) is not a diagnostic criterion for ARDS. Moreover, there is evidence that lung compliance in ARDS may vary considerably depending ...References1. Esson ML, Schrier RW. Diagnosis and treatment of acute tubular necrosis. Ann Intern Med. 2002;137:744-52. [PMID: 12416948] LinkGoogle Scholar2. Bernard GR, Artigas A, Brigham KL, Carlet J, Falke K, Hudson L, . The American-European Consensus Conference on ARDS. Definitions, mechanisms, relevant outcomes, and clinical trial coordination. Am J Respir Crit Care Med. 1994;149:818-24. [PMID: 7509706] CrossrefMedlineGoogle Scholar3. Gattinoni L, Pelosi P, Suter PM, Pedoto A, Vercesi P, Lissoni A. Acute respiratory distress syndrome caused by pulmonary and extrapulmonary disease. Different syndromes? Am J Respir Crit Care Med. 1998;158:3-11. [PMID: 9655699] CrossrefMedlineGoogle Scholar4. Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B, . Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med. 2001;345:1368-77. [PMID: 11794169] CrossrefMedlineGoogle Scholar5. Mitchell JP, Schuller D, Calandrino FS, Schuster DP. Improved outcome based on fluid management in critically ill patients requiring pulmonary artery catheterization. Am Rev Respir Dis. 1992;145:990-8. [PMID: 1586077] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Walter Reed Army Medical Center; Washington, DC 20307.Disclaimer: The opinions or assertions contained herein are the private views of the author and are not to be construed as official or as reflecting the views of the U.S. Department of the Army or the U.S. Department of Defense. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoDiagnosis and Treatment of Acute Tubular Necrosis Matthew L. Esson and Robert W. Schrier Management of Acute Renal Failure Tihomir Stefanec Management of Acute Renal Failure Thomas E. Finucane Management of Acute Renal Failure Robert W. Schrier and Matthew L. Esson Metrics Cited ByAcute Renal Failure and Sepsis 16 September 2003Volume 139, Issue 6Page: 529-530KeywordsAcute respiratory distress syndromeCatheterizationEdemaFluid managementLungsNecrosisPulmonary arteriesResuscitationSepsisShock ePublished: 16 September 2003 Issue Published: 16 September 2003 CopyrightCopyright © 2003 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...