Pregledni rad

ANESTHESIOLOGICAL APPROACH TO PATIENTS WITH CHRONIC KIDNEY DISEASE

IVA BAČAK KOCMAN ; Klinički bolnički centar Zagreb, Klinika za anesteziologiju i intenzivno liječenje, Zagreb, Hrvatska
NIKOLINA BAŠIĆ JUKIĆ ; Zavod za nefrologiju, arterijsku hipertenziju, dijalizu i transplantaciju, Zagreb, Hrvatska
MARIJA TOPALOVIĆ GRKOVIĆ ; Klinički bolnički centar Zagreb, Klinika za anesteziologiju i intenzivno liječenje, Zagreb, Hrvatska
MLADEN PERIĆ ; Klinički bolnički centar Zagreb, Klinika za anesteziologiju i intenzivno liječenje, Zagreb, Hrvatska

Sažetak

Anesthesia in patients with chronic kidney disease (CKD) represents a challenge for anesthesiologists and other specialists in the perioperative team. There is a high incidence of CKD among patients preoperatively, especially in elderly population. For anesthesiologists, it is an imperative to understand the pathophysiology of CKD, prevention of further kidney damage and its complications. This requires experienced anesthesiologist, careful preoperative patient assessment, recognition and modification of the potential risk factors in order to improve patient outcome. Priorities for successful prevention of kidney damage are appropriate fluid distribution peri- and intraoperatively, maintenance of euvolemia, and avoiding hypotension.

Ključne riječi

anesthesia; chronic kidney disease

Hrčak ID:

126804

URI

https://hrcak.srce.hr/126804

Datum izdavanja:

14.9.2014.

Podaci na drugim jezicima: hrvatski

Posjeta: 2.837 *