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Acute renal failure in severe hypothermia.
J S Sandhu1, A Agarwal, K L Gupta
1Department of Nephrology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Renal Failure
|January 1, 1992
Summary
Severe hypothermia can cause acute kidney injury. Treatment involved peritoneal dialysis for rewarming and hemodialysis, addressing hypovolemia, hypotension, and pancreatitis.
Area of Science:
- Nephrology
- Critical Care Medicine
- Emergency Medicine
Background:
- Severe hypothermia presents complex clinical challenges, often leading to multi-organ dysfunction.
- Acute renal failure (ARF) is a recognized complication of hypothermia, necessitating prompt management.
Observation:
- A case report details a patient experiencing ARF secondary to severe hypothermia.
- The patient presented with hypovolemia, hypotension, and acute pancreatitis, contributing to renal impairment.
Findings:
- Core rewarming was achieved using warm peritoneal dialysis.
- Subsequent management involved intermittent hemodialysis until the patient entered the diuretic phase.
- The identified etiological factors for ARF included hypovolemia, hypotension, and acute pancreatitis.
Implications:
- This case highlights the critical role of dialysis modalities in managing hypothermia-induced ARF.
- Understanding contributing factors like pancreatitis is crucial for effective treatment strategies.
- Effective rewarming and renal support are vital for patient recovery from severe hypothermia.