Cardiac Surgery Associated AKI Prevention Strategies and Medical Treatment for CSA-AKI

Acute kidney injury (AKI) is common after cardiac surgery. To date, there are no specific pharmacological therapies. In this review, we summarise the existing evidence for prevention and management of cardiac surgery-associated AKI and outline areas for future research. Preoperatively, angiotensin-c...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Marlies Ostermann, Gudrun Kunst, Eleanor Baker, Kittisak Weerapolchai, Nuttha Lumlertgul
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	acute kidney injury (AKI) cardiac surgery cardiac surgery associated AKI prevention management cardiovascular Medicine R
Acceso en línea:	https://doaj.org/article/e95cd90984504f1ea79016eac84aade0
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:e95cd90984504f1ea79016eac84aade0
record_format	dspace
spelling	oai:doaj.org-article:e95cd90984504f1ea79016eac84aade02021-11-25T18:01:24ZCardiac Surgery Associated AKI Prevention Strategies and Medical Treatment for CSA-AKI10.3390/jcm102252852077-0383https://doaj.org/article/e95cd90984504f1ea79016eac84aade02021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5285https://doaj.org/toc/2077-0383Acute kidney injury (AKI) is common after cardiac surgery. To date, there are no specific pharmacological therapies. In this review, we summarise the existing evidence for prevention and management of cardiac surgery-associated AKI and outline areas for future research. Preoperatively, angiotensin-converting enzyme inhibitors and angiotensin receptor blockers should be withheld and nephrotoxins should be avoided to reduce the risk. Intraoperative strategies include goal-directed therapy with individualised blood pressure management and administration of balanced fluids, the use of circuits with biocompatible coatings, application of minimally invasive extracorporeal circulation, and lung protective ventilation. Postoperative management should be in accordance with current KDIGO AKI recommendations.Marlies OstermannGudrun KunstEleanor BakerKittisak WeerapolchaiNuttha LumlertgulMDPI AGarticleacute kidney injury (AKI)cardiac surgerycardiac surgery associated AKIpreventionmanagementcardiovascularMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5285, p 5285 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	acute kidney injury (AKI) cardiac surgery cardiac surgery associated AKI prevention management cardiovascular Medicine R
spellingShingle	acute kidney injury (AKI) cardiac surgery cardiac surgery associated AKI prevention management cardiovascular Medicine R Marlies Ostermann Gudrun Kunst Eleanor Baker Kittisak Weerapolchai Nuttha Lumlertgul Cardiac Surgery Associated AKI Prevention Strategies and Medical Treatment for CSA-AKI
description	Acute kidney injury (AKI) is common after cardiac surgery. To date, there are no specific pharmacological therapies. In this review, we summarise the existing evidence for prevention and management of cardiac surgery-associated AKI and outline areas for future research. Preoperatively, angiotensin-converting enzyme inhibitors and angiotensin receptor blockers should be withheld and nephrotoxins should be avoided to reduce the risk. Intraoperative strategies include goal-directed therapy with individualised blood pressure management and administration of balanced fluids, the use of circuits with biocompatible coatings, application of minimally invasive extracorporeal circulation, and lung protective ventilation. Postoperative management should be in accordance with current KDIGO AKI recommendations.
format	article
author	Marlies Ostermann Gudrun Kunst Eleanor Baker Kittisak Weerapolchai Nuttha Lumlertgul
author_facet	Marlies Ostermann Gudrun Kunst Eleanor Baker Kittisak Weerapolchai Nuttha Lumlertgul
author_sort	Marlies Ostermann
title	Cardiac Surgery Associated AKI Prevention Strategies and Medical Treatment for CSA-AKI
title_short	Cardiac Surgery Associated AKI Prevention Strategies and Medical Treatment for CSA-AKI
title_full	Cardiac Surgery Associated AKI Prevention Strategies and Medical Treatment for CSA-AKI
title_fullStr	Cardiac Surgery Associated AKI Prevention Strategies and Medical Treatment for CSA-AKI
title_full_unstemmed	Cardiac Surgery Associated AKI Prevention Strategies and Medical Treatment for CSA-AKI
title_sort	cardiac surgery associated aki prevention strategies and medical treatment for csa-aki
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/e95cd90984504f1ea79016eac84aade0
work_keys_str_mv	AT marliesostermann cardiacsurgeryassociatedakipreventionstrategiesandmedicaltreatmentforcsaaki AT gudrunkunst cardiacsurgeryassociatedakipreventionstrategiesandmedicaltreatmentforcsaaki AT eleanorbaker cardiacsurgeryassociatedakipreventionstrategiesandmedicaltreatmentforcsaaki AT kittisakweerapolchai cardiacsurgeryassociatedakipreventionstrategiesandmedicaltreatmentforcsaaki AT nutthalumlertgul cardiacsurgeryassociatedakipreventionstrategiesandmedicaltreatmentforcsaaki
_version_	1718411776223084544

Cardiac Surgery Associated AKI Prevention Strategies and Medical Treatment for CSA-AKI

Ejemplares similares