Optimization of kidney function in cardiac surgery patients with intra-abdominal hypertension: expert opinion.
Abdominal-perfusion pressure
Acute kidney injury
Cardiac surgery
Continuous intra-abdominal pressure
Intra-abdominal pressure
Management
Monitoring
Prevention
Journal
Perioperative medicine (London, England)
ISSN: 2047-0525
Titre abrégé: Perioper Med (Lond)
Pays: England
ID NLM: 101609072
Informations de publication
Date de publication:
12 Jul 2024
12 Jul 2024
Historique:
received:
28
12
2023
accepted:
09
06
2024
medline:
13
7
2024
pubmed:
13
7
2024
entrez:
12
7
2024
Statut:
epublish
Résumé
Cardiac surgery-associated acute kidney injury (CSA-AKI) affects up to 42% of cardiac surgery patients. CSA-AKI is multifactorial, with low abdominal perfusion pressure often overlooked. Abdominal perfusion pressure is calculated as mean arterial pressure minus intra-abdominal pressure (IAP). IAH decreases cardiac output and compresses the renal vasculature and renal parenchyma. Recent studies have highlighted the frequent occurrence of IAH in cardiac surgery patients and have linked the role of low perfusion pressure to the occurrence of AKI. This review and expert opinion illustrate current evidence on the pathophysiology, diagnosis, and therapy of IAH and ACS in the context of AKI.
Identifiants
pubmed: 38997752
doi: 10.1186/s13741-024-00416-5
pii: 10.1186/s13741-024-00416-5
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
72Informations de copyright
© 2024. The Author(s).
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