In our study, out of 30 cases of renal failure, 24 cases (80%) were oliguric
with mortality of 41.
Patients of ARF were further divided into two groups, namely oliguric
and nonoliguric renal failure based on daily urine output of <400 ml (or <0.
Increasing plasma potassium and sodium, and water retention in the oliguric
phase of AKI cause disruption to fluid and electrolyte balance throughout the body.
Both studies found high doses of furosemide could induce a high urine output and convert oliguric
renal failure to non-oliguric
renal failure without reducing the need for dialysis and/or decreasing mortality.
15) found a significantly higher mortality in patients with oliguric
leptospirosis than in non-oliguric
However, even with the wealth of information available from observed parameters, the ICU staff commonly deal with difficult questions such as, should an oliguric
patient be treated with fluids or with diuretics, and are they suffering from hypovolaemia or fluid overload?
This stage is followed by an oliguric
stage as kidney function improves.
HUS is a TMA that mainly affects the kidney and may cause oliguric
or anuric renal failure.
As with saline hydration, sodium bicarbonate hydration should be used with caution in patients with hypertension, congestive heart failure, or oliguric
renal failure, due to the risk of sodium retention and volume overload.
In the third, oliguric
phase, hypertension may develop due to diminished urine formation.
In 1990, Davenport and Will examined 8 consecutive adult patients suffering from fulminant hepatic failure and oliguric
renal failure after paracetamol (acetaminophen) self-poisoning.