Management of Acute Kidney Injury Following Major Abdominal Surgery: A Contemporary Review

被引：19

作者：

Gameiro, Joana ^{[1
]}

Fonseca, Jose Agapito ^{[1
]}

Marques, Filipe ^{[1
]}

Lopes, Jose Antonio ^{[1
]}

机构：

[1] Ctr Hosp Lisboa Norte, Dept Med, Div Nephrol & Renal Transplantat, EPE Ave Prof Egas Moniz, P-1649035 Lisbon, Portugal

来源：

JOURNAL OF CLINICAL MEDICINE | 2020年 / 9卷 / 08期

关键词：

acute kidney injury; abdominal surgery; diagnosis; treatment; RENAL REPLACEMENT THERAPY; CRITICALLY-ILL PATIENTS; ATRIAL-NATRIURETIC-PEPTIDE; GOAL-DIRECTED THERAPY; INTENSIVE-CARE UNITS; LONG-TERM OUTCOMES; HIGH-RISK PATIENTS; CARDIAC-SURGERY; NONCARDIAC SURGERY; INTRAOPERATIVE HYPOTENSION;

D O I：

10.3390/jcm9082679

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Acute kidney injury (AKI) is a frequent occurrence following major abdominal surgery and is independently associated with both in-hospital and long-term mortality, as well as with a higher risk of progressing to chronic kidney disease (CKD) and cardiovascular events. Postoperative AKI can account for up to 40% of in-hospital AKI cases. Given the differences in patient characteristics and the pathophysiology of postoperative AKI, it is inappropriate to assume that the management after noncardiac and nonvascular surgery are the same as those after cardiac and vascular surgery. This article provides a comprehensive review on the available evidence on the management of postoperative AKI in the setting of major abdominal surgery.

引用

页码：1 / 16

页数：16

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