ACUTE RENAL INJURY IN THE PERI-OPERATIVE PERIOD
Acute renal injury is a relatively new notion (introduced into the practice since 2012), which is currently understood as a fast failure of renal functions (within 48 hours) with increasing absolute rates of serum creatinine up to 26.5 mcmol/l and more, with the relative increase of the creatinine c...
| Main Authors: | , |
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| Format: | Article |
| Language: | Russian |
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New Terra Publishing House
2018-02-01
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| Series: | Вестник анестезиологии и реаниматологии |
| Subjects: | |
| Online Access: | https://www.vair-journal.com/jour/article/view/218 |
| Summary: | Acute renal injury is a relatively new notion (introduced into the practice since 2012), which is currently understood as a fast failure of renal functions (within 48 hours) with increasing absolute rates of serum creatinine up to 26.5 mcmol/l and more, with the relative increase of the creatinine concentration up to 50% and more (i.e. by 1.5 times) versus the initial level or as a documented oliguria with diuresis less than 0.5 ml per kg of the body weight during 6 hours. The frequency of acute renal injury increases every year especially in the patients undergoing massive surgical interventions. The effect of acute renal injury is often underestimated in the routine practice which can cause the increase in the mortality rate. There is no generally accepted procedure for prevention and management of acute renal injury. The review describes the aspects of diagnostics of acute renal injury and principles of peri-operative management. |
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| ISSN: | 2078-5658 2541-8653 |