Acute Kidney Injury in Cardiac Surgery.

Acute Kidney Injury / etiology Cardiac Surgical Procedures / adverse effects Humans Incidence Postoperative Complications / etiology Risk Factors
Acute kidney injury Cardiac surgery Cardiopulmonary bypass Ischemia-reperfusion injury

Journal

Critical care clinics
ISSN: 1557-8232
Titre abrégé: Crit Care Clin
Pays: United States
ID NLM: 8507720

Informations de publication

Date de publication:
Apr 2021
Historique:
entrez: 23 3 2021
pubmed: 24 3 2021
medline: 19 8 2021
Statut: ppublish

Résumé

Acute kidney injury (AKI) occurs frequently after cardiac surgery and is associated with high morbidity and mortality. Although the number of cardiac surgical procedures is constantly growing worldwide, incidence of cardiac surgery-associated AKI is still around 40% and has a significant impact on global health care costs. Numerous trials attempted to identify strategies to prevent AKI and attenuate its detrimental consequences. Effective options remained elusive. Current evidence supports a multimodal risk-stratification approach with biomarker-guided management of high-risk patients, perioperative administration of dexmedetomidine, and implementation of a care bundle as recommended by the Kidney Disease: Improving Global Outcomes group.

Identifiants

DOI: 10.1016/j.ccc.2020.11.009 PMID: 33752855
pubmed: 33752855
pii: S0749-0704(20)30114-7
doi: 10.1016/j.ccc.2020.11.009
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

267-278

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Disclosure A. Zarbock and M. Meersch have received lecture fess from Astute Medical, FMC, and Baxter. C. Massoth declares no conflicts of interest.

Auteurs

Christina Massoth (C)

Department of Anesthesiology, Intensive Care, and Pain Medicine, University Hospital Münster, Albert-Schweitzer-Campus 1, A1, Münster 48149, Germany.

Alexander Zarbock (A)

Department of Anesthesiology, Intensive Care, and Pain Medicine, University Hospital Münster, Albert-Schweitzer-Campus 1, A1, Münster 48149, Germany.

Melanie Meersch (M)

Department of Anesthesiology, Intensive Care, and Pain Medicine, University Hospital Münster, Albert-Schweitzer-Campus 1, A1, Münster 48149, Germany. Electronic address: meersch@uni-muenster.de.

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Classifications MeSH

questionsmedicales.fr › Maladies urogénitales › Maladies urologiques › Maladies du rein › Insuffisance rénale › Atteinte rénale aigüe › Acute Kidney Injury in Cardiac Surgery.
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de chirurgie thoracique › Procédures de chirurgie cardiaque › Acute Kidney Injury in Cardiac Surgery.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Acute Kidney Injury in Cardiac Surgery.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Registre civil › Morbidité › Incidence › Acute Kidney Injury in Cardiac Surgery.
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Complications postopératoires › Acute Kidney Injury in Cardiac Surgery.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Probabilité › Risque › Facteurs de risque › Acute Kidney Injury in Cardiac Surgery.