January 1, 2018The Nephron journals/Nephron journals
Perioperative Acute Kidney Injury: Prevention, Early Recognition, and Supportive Measures
Key result
KDIGO-based preventive interventions and early identification remain essential for managing underdiagnosed perioperative AKI.
Population
Patients undergoing cardiac and major non-cardiac surgery at risk of perioperative acute kidney injury (AKI)
Design
Review
Authors
Discussion
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Member takes
Implication
Supports early AKI identification in surgical patients; leaves open optimal strategies pending prospective trials.
Structured PICO
P
Population
Patients undergoing cardiac and major non-cardiac surgery at risk of perioperative acute kidney injury (AKI)
I
Intervention
Preventive interventions, early diagnosis (biomarkers), and supportive measures (renal replacement therapy) based on KDIGO guidelines
Early identification and personalized multidisciplinary management based on KDIGO guidelines are crucial for minimizing the progression and complications of perioperative acute kidney injury.
Limitations
- Current diagnostic markers (serum creatinine and urine output) are not renal-specific and have important limitations.
Cite This Study
Romagnoli et al. (2018) conducted a review in Perioperative Acute Kidney Injury. Perioperative acute kidney injury is an underdiagnosed complication requiring early identification, risk stratification, and preventive interventions based on KDIGO guidelines.