[Perioperative management after non-cardiac surgery in patients with chronic kidney disease]

Area of Science:

• Nephrology
• Anesthesiology
• Perioperative Medicine

Context:

• Global increase in chronic kidney disease (CKD) prevalence over the last decade.
• Growing number of CKD patients require complex perioperative management, particularly in Japan.
• Preoperative renal impairment is a known predictor of postoperative renal dysfunction.

Purpose:

• To review recent topics and novel concepts in the perioperative management of noncardiac surgery for patients with CKD.
• To highlight the importance of safe and comprehensive anesthetic management to avoid aggravating preoperative CKD.
• To provide insights into optimizing outcomes for CKD patients undergoing surgery.

Summary:

• This review focuses on the perioperative anesthetic management of noncardiac surgery for patients with chronic kidney disease (CKD).
• It addresses the increasing global prevalence of CKD and its implications for surgical patient care.
• Key topics include strategies to prevent the aggravation of preoperative renal dysfunction in CKD patients.

Impact:

• Aims to improve the safety and outcomes of noncardiac surgery for the growing population of CKD patients.
• Provides a foundation for developing evidence-based anesthetic protocols for CKD management.
• Contributes to the understanding of how to mitigate perioperative renal risks in this vulnerable patient group.