Review article

ANESTHESIOLOGICAL APPROACH TO PATIENTS WITH CHRONIC KIDNEY DISEASE

IVA BAČAK KOCMAN ; Zagreb University Hospital Center, Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb, Croatia
NIKOLINA BAŠIĆ JUKIĆ ; Department of Internal Medicine, Zagreb, Croatia
MARIJA TOPALOVIĆ GRKOVIĆ ; Zagreb University Hospital Center, Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb, Croatia
MLADEN PERIĆ ; Zagreb University Hospital Center, Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb, Croatia

Abstract

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.

Keywords

anesthesia; chronic kidney disease

Hrčak ID:

126804

URI

https://hrcak.srce.hr/126804

Publication date:

14.9.2014.

Article data in other languages: croatian

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