lunes, 21 de diciembre de 2015

Disfunción renal perioperatoria / Peri-operative renal dysfunction

Diciembre 21, 2015. No. 2182
Anestesia y Medicina del Dolor


Disfunción renal perioperatoria. Prevención y manejo
Peri-operative renal dysfunction: prevention and management.
Anaesthesia. 2016 Jan;71 Suppl 1:51-7. doi: 10.1111/anae.13313.
Postoperative increases in serum creatinine concentration, by amounts historically viewed as trivial, are associated with increased morbidity and mortality. Acute kidney injury is common, affecting one in five patients admitted with acute medical disease and up to four in five patients admitted to intensive care, of whom one in two have had operations. This review is focused principally on the identification of patients at risk of acute kidney injury and the prevention of injury. In the main, there are no interventions that directly treat the damaged kidney. The management of acute kidney injury is based on correction of dehydration, hypotension, and urinary tract obstruction, stopping nephrotoxic drugs, giving antibiotics for bacterial infection, and commencing renal replacement therapy if necessary.

Anestesiología y Medicina del Dolor

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