Perioperative Acute Kidney Injury: Implications, Approach, Prevention

Aditi Balakrishna; Jeremy Walco; Frederic T Billings 4th; Marcos G Lopez

doi:10.1016/j.aan.2023.06.005

Perioperative Acute Kidney Injury: Implications, Approach, Prevention

Adv Anesth. 2023 Dec;41(1):205-224. doi: 10.1016/j.aan.2023.06.005. Epub 2023 Jul 19.

Authors

Aditi Balakrishna¹, Jeremy Walco¹, Frederic T Billings 4th¹, Marcos G Lopez²

Affiliations

¹ Division of Anesthesiology Critical Care Medicine, Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.
² Division of Anesthesiology Critical Care Medicine, Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA. Electronic address: marcos.g.lopez@vumc.org.

PMID: 38251619
DOI: 10.1016/j.aan.2023.06.005

Abstract

Acute kidney injury remains a common and significant contributor to perioperative morbidity. Acute kidney injury worsens patient outcomes, and anesthesiologists should make significant efforts to prevent, assess, and treat perioperative renal injury. The authors discuss the impact of renal injury on patient outcomes and putative underlying mechanisms, evidence underlying treatments for acute kidney injury, and practices that may prevent the development of perioperative renal injury.

Keywords: Acute kidney injury; Anesthesiology; Renal; Surgery.

Published by Elsevier Inc.

Publication types

Review

MeSH terms

Acute Kidney Injury* / diagnosis
Acute Kidney Injury* / etiology
Acute Kidney Injury* / prevention & control
Anesthesiologists
Humans
Kidney