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Acute Kidney Injury Following Cardiothoracic Surgery
1Department of Undergraduate Studies, Cizik School of Nursing, University of Texas Health Science Center at Houston, Room # 775, 6901 Bertner Avenue, Houston, TX 77030, USA; Division of Anesthesiology, Critical Care, and Pain Medicine, Department of Critical Care, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Critical Care Nursing Clinics of North America
|July 29, 2019
Summary
This review covers acute kidney injury (AKI) after heart and chest surgery. It details AKI causes, prediction, diagnosis, and treatment throughout the perioperative period.
Area of Science:
- Nephrology
- Cardiology
- Thoracic Surgery
Background:
- Acute kidney injury (AKI) is a significant complication following cardiothoracic surgery.
- The perioperative period presents unique challenges for kidney function in these patients.
Purpose of the Study:
- To provide a comprehensive review of acute kidney injury in the context of cardiothoracic surgery.
- To cover the entire perioperative spectrum, including preoperative, intraoperative, and postoperative phases.
Main Methods:
- Literature review of existing research on perioperative acute kidney injury.
- Synthesis of information on pathophysiology, risk factors, and clinical management.
Main Results:
- Identified key preoperative, intraoperative, and postoperative factors contributing to AKI.
- Discussed current diagnostic criteria, preventive strategies, and treatment modalities.
Conclusions:
- AKI following cardiothoracic surgery requires a multifaceted approach addressing all perioperative stages.
- Further research is needed to refine prediction, prevention, and treatment strategies for AKI in this population.
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