Kidney Stress and Acute Kidney Injury after Cardiac Surgery
Posts
Anesthetic agents and impaired renal function.
read also: Acute Kidney Injury. Causes and Differential Diagnosis. Some agents can be used safely ( cyan color of the table cells)
Acute Kidney Injury. Causes and Differential Diagnosis.
Read also: Anesthetic agents and impaired renal function. Acute kidney injury (AKI) is defined as an abrupt or rapid loss in kidney filtration function, that develops within 7 days. Main groups of causes are: I PRERENAL Absolute decrease in effective blood volume Severe blood loss Volume depletion Severe burns Relative decrease in blood volume (ineffective arterial volume) Congestive heart failure Decompensated liver cirrhosis Arterial occlusion or stenosis of renal artery Hemodynamic form NSAIDs ACE inhibitor or angiotensin-II receptor antagonists in renal-artery stenosis or congesitve heart failure II INTRINSIC RENAL Vascular Vasculitis, malignant hypertension Acute glomerulonephritis Postinfectious glomeronephritis disease caused by antibody to glomerular basement membrane Acute tubular necrosis Acute interstitial nephritis Ischemic Nephrotoxic Exogenous: Anti...
Impact of Intraoperative Hypotension During Cardiopulmonary Bypass on Acute Kidney Injury After Coronary Artery Bypass Grafting
Abstract Thijs C.D. Rettig x Thijs C.D. Rettig Search for articles by this author Affiliations Department of Anesthesiology, Intensive Care, and Pain Medicine, St. Antonius Hospital, Nieuwegein, Netherlands , MD, Linda M. Peelen , PhD , Guillaume S.C. Geuzebroek , MD, PhD , Wilton A. van Klei , MD, PhD , Christa Boer, PhD , Jan Willem van der Veer , MD , Jan Hofland , MD, PhD , Ewoudt M.W. van de Garde , PharmD, PhD , Peter G. Noordzij , MD, PhD Objective The aim of this study was to investigate whether acute kidney injury (AKI) after coronary artery bypass grafting can be attributed to intraoperative hypotension during cardiopulmonary bypass (IOH-CPB). Design Retrospective analysis. Setting Tertiary-care hospital. Participants Patients undergoing on-pump coronary artery bypass grafting from June 2011 to January 2014. Interventions None. Measurements and Main Results IOH-CPB was defined as blood press...