Key result
A narrative review highlights that preoperative optimization and intraoperative management by anesthesiologists are essential to reduce the risk of perioperative acute kidney injury.
Why the study?
Perioperative acute kidney injury occurs frequently and increases mortality, yet reliable means to prevent or reverse it are still lacking.
What are the current approaches and modifiable risk factors for preventing perioperative acute kidney injury?
What are the current approaches and modifiable risk factors for preventing perioperative acute kidney injury?
Anaesthesiologists play a crucial role in preventing perioperative AKI through preoperative optimization and careful intraoperative hemodynamic and fluid management.
Answers are grounded in this paper and cite their sources.
Supports anesthesiologist-led perioperative optimization for AKI prevention; leaves open need for prospective trials to guide practice.
Background Among the different types of perioperative organ injury, acute kidney injury (AKI) occurs frequently and is consistently associated with increased rates of mortality and mortality. Despite development of many clinical trials to assess perioperative interventions, reliable means to prevent or reverse AKI are still lacking. Objectives This narrative review discusses recent literature on modifiable risk factors, current approaches to prevention and potential directions for future research. Methods A Pubmed search with the relevant keywords was done for articles published in the last 10 years. Results New insights into preoperative identification and optimisation, intraoperative strategies, including the choice of anaesthetic, haemodynamic and fluid management, have been made, with the aim of preventing perioperative AKI. Conclusion A patient-centric multidisciplinary approach is essential to protect kidney function of patients going for surgery. Much can be done by anaesthesiologists perioperatively, to reduce the risk of development of AKI, especially in susceptible patients. There is a need for further multicentred trials to enhance the currently generic perioperative recommendations.
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Xing et al. (2023) conducted a review in Perioperative acute kidney injury. Perioperative management strategies was evaluated. A narrative review highlights that preoperative optimization and intraoperative management by anesthesiologists are essential to reduce the risk of perioperative acute kidney injury.
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