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Related Concept Videos

Acute Kidney Injury I: Introduction01:22

Acute Kidney Injury I: Introduction

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Introduction:Acute Kidney Injury (AKI) describes a swift decrease in kidney function occurring over hours to days, characterized by the kidneys' failure to remove waste products from the bloodstream. This leads to dangerous complications like metabolic acidosis, fluid overload, and electrolyte imbalances, such as hyperkalemia, which can cause life-threatening arrhythmias. AKI is common in both hospital and outpatient settings, often triggered by dehydration, sepsis, or exposure to nephrotoxic...
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Acute Kidney Injury II: Pathophysiology01:29

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Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
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Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

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Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
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Acute Kidney Injury VI: Nursing Management01:22

Acute Kidney Injury VI: Nursing Management

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Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
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Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

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Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
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Acute Kidney Injury III: Clinical Manifestations01:29

Acute Kidney Injury III: Clinical Manifestations

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Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
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How Much Do We Know About Acute Kidney Injury Following Pneumonectomy? A Retrospective Study.

Çiğdem Yıldırım Güçlü1, Süheyla Karadağ Erkoç1, Bengi Şafak1

  • 1Department of Anaesthesiology and Intensive Care Medicine, Ankara University Faculty of Medicine, Ankara, Türkiye.

Thoracic Research and Practice
|January 30, 2026
PubMed
Summary

Acute kidney injury (AKI) after pneumonectomy occurred in 12% of patients, linked to higher BMI and fluid volume. Nonsteroidal anti-inflammatory drugs and diuretics were protective, suggesting targets for AKI prevention.

Keywords:
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Area of Science:

  • Nephrology
  • Thoracic Surgery
  • Critical Care Medicine

Background:

  • Acute kidney injury (AKI) is a common postoperative complication in thoracic surgery.
  • Data on AKI incidence and risk factors specifically after pneumonectomy are limited.
  • Understanding AKI post-pneumonectomy is crucial for improving patient outcomes.

Purpose of the Study:

  • To determine the incidence of AKI within one week following pneumonectomy.
  • To identify risk factors associated with AKI development after pneumonectomy.
  • To evaluate the short-term outcomes of AKI in this patient population.

Main Methods:

  • Retrospective single-center cohort study of adult patients undergoing elective pneumonectomy (2008-2018).
  • Exclusion of patients with pre-existing kidney disease or AKI.
  • AKI diagnosis based on Kidney Disease Improving Global Outcomes (KDIGO) criteria using postoperative creatinine levels within one week.
  • Logistic regression analysis to identify independent risk factors for AKI.

Main Results:

  • The incidence of AKI was 12% among 166 eligible patients.
  • Increased body mass index, higher intraoperative fluid volume, and acetylsalicylic acid use were associated with higher AKI risk.
  • Nonsteroidal anti-inflammatory drug use and diuretic use were found to be protective against AKI.
  • AKI was associated with longer hospitalization but not increased mortality.

Conclusions:

  • AKI is a significant complication following pneumonectomy with identifiable risk factors.
  • Non-modifiable (BMI) and modifiable (fluid management, medication use) factors influence AKI risk.
  • AKI should be considered a key quality indicator in thoracic surgery, guiding preventative strategies.