open access

Vol 45, No 3 (2013 Jul-Sep)
Review articles
Submitted: 2013-09-25
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Perioperative management of cardiac surgery patients who are at the risk of acute kidney injury

Łukasz Krzych, Maciej Wybraniec, Jerzy Chudek, Andrzej Bochenek
DOI: 10.5603/AIT.2013.0033
·
Anaesthesiol Intensive Ther 2013;45(3):155-163.

open access

Vol 45, No 3 (2013 Jul-Sep)
Review articles
Submitted: 2013-09-25

Abstract

Acute kidney injury is one of the most frequent and clinically important of all postoperative complications in cardiac surgery. It is estimated that almost half of subjects suffer from a deterioration of kidney function after a cardio-pulmonary by-pass. Renal insufficiency impacts upon the outcome in terms of an increase in postoperative morbidity and mortality, and a decrease in quality of life. Recently, a modified and unified classification of cardio-renal syndrome has been devised, which takes into account bilateral association between the heart and the kidneys. Because acute decompensation in heart function leads to acute kidney damage, therefore cardiac surgery-associated acute kidney injury may be recognised as a type 1 cardio-renal syndrome from a pathophysiological point of view. This paper aims to review the current data on the diagnosis of acute kidney injury and preventive strategies that can be implemented in cardiac surgery perioperative care.

Abstract

Acute kidney injury is one of the most frequent and clinically important of all postoperative complications in cardiac surgery. It is estimated that almost half of subjects suffer from a deterioration of kidney function after a cardio-pulmonary by-pass. Renal insufficiency impacts upon the outcome in terms of an increase in postoperative morbidity and mortality, and a decrease in quality of life. Recently, a modified and unified classification of cardio-renal syndrome has been devised, which takes into account bilateral association between the heart and the kidneys. Because acute decompensation in heart function leads to acute kidney damage, therefore cardiac surgery-associated acute kidney injury may be recognised as a type 1 cardio-renal syndrome from a pathophysiological point of view. This paper aims to review the current data on the diagnosis of acute kidney injury and preventive strategies that can be implemented in cardiac surgery perioperative care.

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Keywords

acute kidney injury; cardiorenal syndrome; biochemical markers, neutrophil gelatinase-associated lipocalin; diuretics; renal replacement therapy, hemofiltration

About this article
Title

Perioperative management of cardiac surgery patients who are at the risk of acute kidney injury

Journal

Anaesthesiology Intensive Therapy

Issue

Vol 45, No 3 (2013 Jul-Sep)

Pages

155-163

DOI

10.5603/AIT.2013.0033

Bibliographic record

Anaesthesiol Intensive Ther 2013;45(3):155-163.

Keywords

acute kidney injury
cardiorenal syndrome
biochemical markers
neutrophil gelatinase-associated lipocalin
diuretics
renal replacement therapy
hemofiltration

Authors

Łukasz Krzych
Maciej Wybraniec
Jerzy Chudek
Andrzej Bochenek

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