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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.70 No.3
- 발행연도
- 2017.1
- 수록면
- 258 - 266 (9page)
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초록· 키워드
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Acute kidney injury (AKI) after cardiac surgery is a common and serious complication. Several definitions of AKI have been proposed recently, and include both increases in serum creatinine levels and decreases in urine output as diagnostic criteria. The pathophysiology of postoperative AKI is complex and involves both ischemic injury and systemic inflammation. Identifying risk factors, such as old age, underlying diabetes, heart failure, and obesity, may aid in the application of preventative methods for postoperative AKI. Additionally, recognizing different risks after different types of surgical procedures would be valuable. Novel biomarkers that could detect AKI more precisely at an earlier time point are being investigated. Several new biomarkers have been assessed in large multi-center studies and are believed to accommodate conventional clinical findings in diagnosing postoperative AKI. In high-risk patients, preventative measures, such as the maintenance of adequate hemodynamics and sufficient fluid resuscitation, could lower the incidence of postoperative AKI. Avoiding nephrotoxic agents and optimizing preoperative hemoglobin levels to avoid excessive transfusions would also be beneficial. In situations in which medical management fails to maintain sufficient urine output and acid–base and electrolyte homeostasis, early initiation of renal replacement therapy should be considered.
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등록된 정보가 없습니다.
참고문헌 (85)
참고문헌 신청
Thakar CV / 2009 / Incidence and outcomes of acute kidney injury in intensive care units: a Veterans Administration study / Crit Care Med 37:2552~2558
Uchino S / 2005 / Acute renal failure in critically ill patients: a multinational, multicenter study / JAMA 294:813~818
Thakar CV / 2013 / Perioperative acute kidney injury / Adv Chronic Kidney Dis 20:67~75
Antunes PE / 2004 / Renal dysfunction after myocardial revascularization / Eur J Cardiothorac Surg 25:597~604
Chertow GM / 1997 / Preoperative renal risk stratification / Circulation 95:878~884
Uchino S / 2005 / Acute renal failure in critically ill patients: a multinational, multicenter study / JAMA 294:813~818
Thakar CV / 2013 / Perioperative acute kidney injury / Adv Chronic Kidney Dis 20:67~75
Antunes PE / 2004 / Renal dysfunction after myocardial revascularization / Eur J Cardiothorac Surg 25:597~604
Chertow GM / 1997 / Preoperative renal risk stratification / Circulation 95:878~884
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