Clinical practice guidelines recommend avoiding hyperthermic perfusion (>37°C) and using a goal-directed oxygen delivery strategy to reduce the risk of acute kidney injury in adult cardiac surgery.
Systematic Review
Do renal protection strategies prevent cardiac surgery-associated acute kidney injury in adults undergoing cardiac surgery with cardiopulmonary bypass?
In adult cardiac surgery with CPB, avoiding hyperthermic perfusion and using goal-directed oxygen delivery are recommended to prevent acute kidney injury, while dopamine and mannitol are not recommended.
In adult cardiac surgery with cardiopulmonary bypass (CPB), avoiding hyperthermic perfusion (.37 C) is recommended to reduce the risk of cardiac surgeryassociated acute kidney injury (CSA-AKI).(Class of Recommendation: I, Level of Evidence: B-R) 2. In adult cardiac surgery with CPB, a goal-directed oxygen delivery strategy is recommended to reduce the
Brown et al. (Thu,) conducted a systematic review in Cardiac Surgery-Associated Acute Kidney Injury. Renal protection strategies (avoiding hyperthermia, goal-directed oxygen delivery) vs. Standard care was evaluated on Cardiac surgery-associated acute kidney injury (CSA-AKI). Clinical practice guidelines recommend avoiding hyperthermic perfusion (>37°C) and using a goal-directed oxygen delivery strategy to reduce the risk of acute kidney injury in adult cardiac surgery.
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