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Signa vitae : journal for intesive care and emergency medicine, Vol. 9 No. Suppl. 1, 2014.

Original scientific paper

Acute kidney injury in perioperative settings

SAKAN SAKAN orcid id orcid.org/0000-0002-9551-413X ; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Zagreb, Kišpatićeva 12, 10000 Zagreb, Croatia
DANIJELA BANDIĆ PAVLOVIĆ ; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Zagreb, Kišpatićeva 12, 10000 Zagreb, Croatia
ROBERT BARONICA ; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Zagreb, Kišpatićeva 12, 10000 Zagreb, Croatia
TAJANA ZAH BOGOVIĆ ; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Zagreb, Kišpatićeva 12, 10000 Zagreb, Croatia
VILKA BEKAVAC MIŠAK ; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Zagreb, Kišpatićeva 12, 10000 Zagreb, Croatia
MLADEN PERIĆ ; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Zagreb, Kišpatićeva 12, 10000 Zagreb, Croatia
NIKOLINA BAŠIĆ-JUKIĆ ; Department of Nephrology, Arterial Hypertension and Dialysis, University Hospital Centre Zagreb, Zagreb Croatia
DINKO TONKOVIĆ ; Department of Anaesthesiology and Intensive Care Unit, University Hospital “Sveti Duh”, Zagreb, Croatia

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Abstract

Acute kidney injury is a clinical syndrome which represents relevant and serious perioperative complication. It is associated
with increased patient morbidity, mortality, prolonged hospital stays, and not to mention greater healthcare costs. Yet, the
patients who suffered from temporary acute kidney injury in the perioperative period, and regardless of the final outcome,
usually complain afterwards about emotional distress, coupled with poor quality of life associated with loss of energy and
limited normal physical activity. Therefore, the role of the physician to predict a kidney vulnerable patient in the perioperative
period is a task of great importance, albeit not an easy one. The key management is risk stratification of the patient
in conjunction with hemodynamic and oxygen optimization, in addition to avoiding nephrotoxic agents during the entire
perioperative period.

Keywords

acute kidney injury; perioperative; risk stratification

Hrčak ID:

134133

URI

https://hrcak.srce.hr/134133

Publication date:

1.6.2014.

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