Perioperative acute kidney injury

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Perioperative acute kidney injury.

Perioperative acute kidney injury (AKI) is not uncommon and is associated with considerable morbidity and mortality. Recently, several definition systems for AKI were proposed, incorporating both small changes of serum creatinine and urinary output reduction as diagnostic criteria. Novel biomarkers are under investigation as fast and accurate predictors of AKI. Several special considerations re...

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Perioperative acute kidney injury

Acute kidney injury (AKI) is a serious complication in the perioperative period, and is consistently associated with increased rates of mortality and morbidity. Two major consensus definitions have been developed in the last decade that allow for easier comparison of trial evidence. Risk factors have been identified in both cardiac and general surgery and there is an evolving role for novel bio...

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Perioperative Acute Kidney Injury: Prevention Rather Than Cure.

In Reply We appreciate the thoughtful letter by Wada et al in response toour study.1 InVeteransAffairs SurgicalQuality ImprovementProgram (VASQIP)–assessed cases, data for risk assessmentandpostoperativeeventsareobtainedvia 1of2methods. Themajority of data are collectedmanually by a surgical quality nurse, includingpreoperative, intraoperative, and 30daypostoperative outcomedata. Themanually co...

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Perioperative risk assessment, prevention, and treatment of acute kidney injury.

In the perioperative period, physicians strive to provide optimal care for their patients by first performing a thorough evaluation of all organ systems. This is most important for elective and nonelective highrisk procedures and for procedures performed on critically ill or medically complex patients. The perioperative period is unique as it is a distinct event in a patient’s health where cert...

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Perioperative acute kidney injury: risk factors, recognition, management, and outcomes.

Acute kidney injury (AKI), formerly known as “acute renal failure,” is associated with increased morbidity, mortality, duration of hospital stay, and healthcare cost. Despite this, published data on perioperative acute kidney injury, occurring between the time of admission for surgery and the time of discharge, are scarce outside the cardiovascular surgery setting. Regardless of the clinical se...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 2015

ISSN: 0007-0912

DOI: 10.1093/bja/aev380