Surgery in the patient with renal dysfunction

Anesthesiology Clinics
Dean R Jones, H T Lee

Abstract

Preoperative evaluation of patients with renal dysfunction often requires the collaborative efforts of the primary care physician, nephrologist, surgeon, and anesthesiologist. Renal dysfunction is typically a spectrum of disease with multisystem effects. Optimization of preexisting medical issues is the key, as is a thorough understanding of the potential perioperative risks for further renal injury. Surgical or anesthetic techniques may require alteration for the patient with significant renal dysfunction. Identification of those at risk for renal injury may allow for preventative therapies in the perioperative period. This article focuses on defining the population at risk, a framework for preoperative evaluation, and developments in the area of perioperative renal protection.

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Citations

Jul 16, 2010·Intensive Care Medicine·Alexandra ChronopoulosClaudio Ronco
Jan 1, 2010·Therapeutic Advances in Medical Oncology·Jennifer A Sipos, Manisha H Shah
Jun 19, 2013·Clinical Orthopaedics and Related Research·George A MacherasEleftherios Tsiridis

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