Affiliation:
1. Kuzbass Cardiology Center
Abstract
Cardiac surgery associated acute kidney injury (CSA-AKI) is a common complication of cardiac surgery resulting from the patient's exposure to a complex combination of factors in the perioperative period. Current diagnostic criteria for AKI may underestimate the incidence of this complication due to certain specific features of cardiac surgery patients. The introduction of new diagnostic biomarkers of kidney injury into clinical practice has shown the prospective of identifying patients in the early stages of CSA-AKI development. Accurate and timely identification of patients at high risk of developing CSA-AKI can also allow performing comprehensive interventions to prevent it. When diagnosed, CSA-AKI management limited to symptomatic treatment.
Publisher
FSBEI HE I.P. Pavlov SPbSMU MOH Russia
Subject
Anesthesiology and Pain Medicine,Critical Care and Intensive Care Medicine,Emergency Medicine
Reference50 articles.
1. Kamenshchikov N.O., Podoksenov Yu.K., Dyakova M.L. et al. Acute kidney injury in cardiac surgery: Predictive diagnosis in the preoperative period. Patologiya Krovoobrascheniya i Kardiokhirurgiya, 2021, vol. 25, no. 1, pp. 40-51. (In Russ.)
2. Polushin Yu.S., Sokolov D.V., Molchan N.S. et al. Acute kidney injury in cardiac surgery with cardiopulmonary bypass. Messenger of Anesthesiology and Resuscitation, 2021, vol. 18, no. 6, pp. 38-47. (In Russ.) doi: 10.21292/2078-5658-2021-18-6-38-47.
3. Smirnov A.V., Kayukov I.G., Degtereva O.A. et al. Problems of diagnosis and stratification of the severity of acute kidney injury. Nephrologiya, 2009, vol. 13, no. 3, pp. 9-18. (In Russ.)
4. Abosamak M.F., Lippi G., Benoit S.W. et al. Bladder urine oxygen partial pressure monitoring: Could it be a tool for early detection of acute kidney injury? Egypt. J. Anaesthesia, 2021, vol. 37, no. 1, pp. 43-49. doi: 10.1080/11101849.2021.187868.
5. Bae J., Kim J., Lee S. et al. Association between intraoperative hyperoxia and acute kidney injury after cardiac surgery: a retrospective observational study. J. Cardiothor. Vasc. Anesth., 2021, vol. 35, no. 8, pp. 2405-2414. doi: 10.1053/j.jvca.2020.11.054.