Utilidad del citoquímico urinario en cuidados intensivos, una herramienta olvidada

Jorge Rico Fontalvo; Rodrigo Daza Arnedo; Juan Gutiérrez Ariza; Oscar Soto Guerrero; Beatriz Suarez Romero; Ángel Vásquez Jiménez; Dairo Rodelo; Esteban Díaz Suárez; Tomas Rodríguez Yánez; Valentina Ortiz Márquez; Lourdes Carolina Vázquez Jiménez

Authors

Jorge Rico Fontalvo Asociación Colombiana de Nefrología e HTA. Bogotá, Colombia https://orcid.org/0000-0002-2852-1241
Rodrigo Daza Arnedo Asociación Colombiana de Nefrología e HTA. Bogotá, Colombia https://orcid.org/0000-0002-6295-4972
Juan Gutiérrez Ariza Clínica La Ermita de Cartagena. Cartagena, Colombia https://orcid.org/0000-0002-2891-4125
Oscar Soto Guerrero Clínica La Ermita de Cartagena. Cartagena, Colombia https://orcid.org/0009-0007-9267-0704
Beatriz Suarez Romero Clínica La Ermita de Cartagena. Cartagena, Colombia https://orcid.org/0000-0003-2123-2671
Ángel Vásquez Jiménez Clínica La Ermita de Cartagena. Cartagena, Colombia https://orcid.org/0000-0002-1783-2562
Dairo Rodelo Universidad Simón Bolívar, Medicina Crítica y Cuidados Intensivos. Barranquilla, Colombia https://orcid.org/0009-0003-8743-3246
Esteban Díaz Suárez Universidad Simón Bolívar. Facultad de Medicina. Barranquilla, Colombia https://orcid.org/0009-0006-6775-0414
Tomas Rodríguez Yánez Universidad de Cartagena, Medicina Crítica y Cuidados Intensivos. Cartagena, Colombia https://orcid.org/0000-0001-9251-9376
Valentina Ortiz Márquez Universidad de la Sabana, Facultad de Medicina. Bogotá, Colombia https://orcid.org/0009-0003-7119-5079
Lourdes Carolina Vázquez Jiménez Universidad Nacional del Asunción, Facultad de Ciencias Médicas, Hospital de Clínicas, Departamento de Nefrología. San Lorenzo, Paraguay https://orcid.org/0000-0003-1416-552X

Keywords:

urine cytochemistry, urine sediment, sepsis, acute kidney injury, heart failure

Abstract

A urinary sediment is a tool used for years to characterize renal manifestations of primary and secondary diseases, which requires standardization and learning to interpret it. In patients admitted to the intensive care unit, it is often not performed, or several factors must be taken into account for its interpretation due to the patient's hemodynamic status, glomerular filtration, tubular excretion, water reabsorption, and solutes. In addition to the acid-base balance, which can vary significantly in critically ill patients with different pathophysiological conditions? A review of the conditions for the interpretation of urinalysis is presented.

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