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Review

Renal disease and the surgical patient: Minimizing the impact

Kanav Sharma, MBBS, MPH and Barbara Slawski, MD, MS, SFHM
Cleveland Clinic Journal of Medicine July 2018, 85 (7) 559-567; DOI: https://doi.org/10.3949/ccjm.85a.17009
Kanav Sharma
Assistant Professor, Perioperative and Consultative Medicine, Department of Internal Medicine, Medical College of Wisconsin, Milwaukee
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  • For correspondence: [email protected]
Barbara Slawski
Chief, Section of Perioperative and Consultative Medicine, Division of General Internal Medicine, Department of Medicine, Medical College of Wisconsin, Milwaukee
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ABSTRACT

Chronic kidney disease (CKD) is common in patients scheduled for surgery and increases the risk of postoperative acute kidney injury, major adverse cardiac events, and death. Acute kidney injury is a common complication of cardiac and noncardiac surgery and negatively affects both short-and long-term outcomes. If we can detect underlying CKD and other risk factors for acute kidney injury before surgery, we may in theory be able to give preventive therapies and improve perioperative outcomes.

  • Copyright © 2018 The Cleveland Clinic Foundation. All Rights Reserved.
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  1. Kanav Sharma, MBBS, MPH⇑
  1. Assistant Professor, Perioperative and Consultative Medicine, Department of Internal Medicine, Medical College of Wisconsin, Milwaukee
  1. ADDRESS:
    Kanav Sharma, MBBS, MPH, Assistant Professor, Perioperative and Consultative Medicine, Department of Internal Medicine, Medical College of Wisconsin, 9200 Wisconsin Avenue, Milwaukee, WI 53226; ksharma{at}mcw.edu
  1. Barbara Slawski, MD, MS, SFHM
  1. Chief, Section of Perioperative and Consultative Medicine, Division of General Internal Medicine, Department of Medicine, Medical College of Wisconsin, Milwaukee

ABSTRACT

Chronic kidney disease (CKD) is common in patients scheduled for surgery and increases the risk of postoperative acute kidney injury, major adverse cardiac events, and death. Acute kidney injury is a common complication of cardiac and noncardiac surgery and negatively affects both short-and long-term outcomes. If we can detect underlying CKD and other risk factors for acute kidney injury before surgery, we may in theory be able to give preventive therapies and improve perioperative outcomes.

  • Copyright © 2018 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 85 (7)
Cleveland Clinic Journal of Medicine
Vol. 85, Issue 7
1 Jul 2018
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Renal disease and the surgical patient: Minimizing the impact
Kanav Sharma, Barbara Slawski
Cleveland Clinic Journal of Medicine Jul 2018, 85 (7) 559-567; DOI: 10.3949/ccjm.85a.17009

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Renal disease and the surgical patient: Minimizing the impact
Kanav Sharma, Barbara Slawski
Cleveland Clinic Journal of Medicine Jul 2018, 85 (7) 559-567; DOI: 10.3949/ccjm.85a.17009
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Jump to section

  • Article
    • ABSTRACT
    • WHAT IS THE IMPACT ON POSTOPERATIVE OUTCOMES?
    • WHAT IS THE IMPACT OF ACUTE KIDNEY INJURY?
    • WHAT ARE THE RISK FACTORS FOR ACUTE KIDNEY INJURY?
    • CAN WE DECREASE THE IMPACT OF RENAL DISEASE IN SURGERY?
    • WHAT TOOLS DO WE HAVE TO DIAGNOSE RENAL INJURY?
    • CAN WE PROTECT RENAL FUNCTION?
    • RECOMMENDATIONS
    • REFERENCES
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