Epidemiology, outcomes, and management of acute kidney injury in the vascular surgery patient

Journal of Vascular Surgery
Charles HobsonAzra Bihorac

Abstract

Conventional clinical wisdom has often been nihilistic regarding the prevention and management of acute kidney injury (AKI), despite its being a frequent and morbid complication associated with both increased mortality and cost. Recent developments have shown that AKI is not inevitable and that changes in management of patients can reduce both the incidence and morbidity of perioperative AKI. The purpose of this narrative review was to review the epidemiology and outcomes of AKI in patients undergoing vascular surgery using current consensus definitions, to discuss some of the novel emerging risk stratification and prevention techniques relevant to the vascular surgery patient, and to describe a standardized perioperative pathway for the prevention of AKI after vascular surgery. We performed a critical review of the literature on AKI in the vascular surgery patient using the PubMed and MEDLINE databases and Google Scholar through September 2017 using web-based search engines. We also searched the guidelines and publications available online from the organizations Kidney Disease: Improving Global Outcomes and the Acute Dialysis Quality Initiative. The search terms used included acute kidney injury, AKI, epidemiology, outcomes, p...Continue Reading

Citations

Dec 13, 2019·Kidney Research and Clinical Practice·Ambar Oyarzábal-YeraVivian Molina-Cuevas
May 19, 2019·Clinical Journal of the American Society of Nephrology : CJASN·Kianoush KashaniVin-Cent Wu
Aug 23, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Elizabeth A ValentineE Andrew Ochroch
Oct 8, 2020·Current Opinion in Critical Care·Greet De VliegerGeert Meyfroidt
Jun 15, 2021·Journal of Vascular Nursing : Official Publication of the Society for Peripheral Vascular Nursing·Alireza RaiMohammadreza Sobhiyeh

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