Perioperative intravascular volume replacement and kidney insufficiency

Zaccaria Ricci, Stefano Romagnoli, Claudio Ronco

Research output: Contribution to journalArticle

Abstract

Perioperative acute kidney injury (AKI) occurrence is probably increased in recent years due to the increased level of complexity of surgical procedures and severity of illness of surgical patients. Perioperative AKI has a multifactorial aetiology (preoperative co-morbidities such as diabetes, heart failure and chronic kidney disease, emergent surgery, exposure to nephrotoxic drugs, haemodynamic instability, hypothermia, inflammatory response to surgery, hospital-acquired infections and abdominal compartment syndrome). However, fluid choice for perioperative volume replacement might have a major role in perioperative AKI, as administration of crystalloid solutions, colloids or haemoderivates has the potential for kidney injury. This review focusses on the issue of fluid replacement quality and quantity and their association with renal dysfunction.

Original languageEnglish
Pages (from-to)463-474
Number of pages12
JournalBest Practice and Research: Clinical Anaesthesiology
Volume26
Issue number4
DOIs
Publication statusPublished - Dec 2012

Keywords

  • colloids
  • crystalloids
  • fluid balance
  • major surgery
  • perioperative acute kidney injury
  • red blood cells

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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