Victoria Socha

DocwireNews

Due in part to an 
aging population as well as improved outcomes in patients with end-stage renal 
disease, elective surgeries are being performed more frequently in patients 
with all stages of chronic kidney disease (CKD). Patients in this population 
are at high risk for adverse perioperative outcomes, including acute kidney 
injury (AKI), cardiovascular events, and mortality. Jehan Z. Bahrainwala, MD, 
and colleagues reviewed perioperative optimization in this high-risk population 
in an In Practice article in the American Journal of Kidney Diseases 
[2020;75(2):245-255].The article 
reviews the literature describing absolute risks associated with common 
surgeries in patients with CKD as well as patients receiving maintenance 
dialysis therapy. Perioperative optimization with special risk assessment is 
discussed, including evaluation of cardiovascular and bleeding risk, management 
of hypertension, and timing of dialysis. Stratifying risk for AKI, major 
adverse cardiac events, or other serious complications associated with elective 
surgeries using predictive risk models is reviewed.&ldquo;A multidisciplinary approach with individualized counseling is necessary to counsel the patient with advanced CKD or patients treated with maintenance dialysis considering elective surgery,&rdquo; the authors said.<a href="https://www.ajkd.org/article/S0272-6386(19)30912-6/pdf">Read More: American Journal of Kidney Diseases</a>

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Surgical Risks and Management in Patients with CKD

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Due in part to an aging population as well as improved outcomes in patients with end-stage renal disease, elective surgeries are being performed more frequently in patients ...

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