from pre-existing renal failure to perioperative renal protection: the anesthesiologist’s dilemmas

From Pre-Existing Renal Failure to Perioperative Renal Protection: The Anesthesiologist’s Dilemmas

CONTEXT Pre-existing renal dysfunction presents specific features that anesthesiologists must deal with. Anesthesia and renal function are connected and can interfere with each other. Induced hypotension anesthesia and the toxic effects of anesthetic drugs can further deteriorate renal function. EVIDENCE ACQUISITION Decreased renal function can prolong anesthetic drug effects by decreased eli...

Perioperative renal protection

Acute renal failure (ARF) occurring around the time of surgery is a serious complication associated with considerable morbidity and mortality. Appropriate perioperative strategies are required to protect renal function to optimize patient outcome. Perioperative ARF accounts for 20–25% of cases of hospital-acquired renal failure. The incidence varies between 1 and 25% depending on the type of su...

Renal failure--dilemmas and developments.

Twenty years ago a patient with a blood urea concentration of 50 mmol/l (300 mg 100 ml) due to chronic renal failure was not expected to survive. The responsibility of the physician, having made the diagnosis, was to make the process of dying comfortable. Slowly progressive weakness, lethargy, nausea, vomiting, and a multitude of other symptoms usually precede the preterminal coma that has led ...

Acute renal failure due to renal lymphomatous infiltration as the initial manifestation

  A male patient with acute renal failure (ARF) due to large B-cell non-Hodgkin lymphoma infiltration of kidney is presented. The diagnosis was suspected because of coincidence of ARF and tumor lysis syndrome non-responsive to conservative renal therapies. A renal biopsy confirmed diagnosis and appropriate chemotherapy led to complete improvement of renal function.  

End stage renal failure--dilemmas and hope!

Effect of aminophylline on renal function of brain injury patients with acute renal failure admitted to the intensive care unit

Introdution: Acute renal failure is a common complication in the brain injury patients. Released adenosine in injury can reduce renal glomerular filtration. Aminophylline is an inhibitor of releasing adenosine. So, this study aimed to evaluate the effect of intravenous aminophylline in renal function of brain-injured patients with acute renal failure admitted to the intensive care unit. Method...