Preserving renal function in surgical patients

C. Whiteside-Yim, Faith T Fitzgerald

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Postoperative acute renal failure, especially associated with oliguria, carries a high rate of mortality and morbidity. This complication can frequently be avoided if physicians are knowledgeable about preventable or modifiable risk factors. Patients who have underlying renal disease, sepsis, volume depletion or other conditions associated with renal hypoperfusion, or who have severe liver disease, are at particular risk. Exposure to nephrotoxic agents and wide fluctuations of intravascular volume are key conditions that can usually be minimized. Managing patients with chronic advanced renal failure (creatinine clearance 10 to 25 ml per minute) requires close interaction between the internists, anesthesiologists and surgeons. Understanding associated metabolic and organ system disorders is necessary to prevent complications and preserve remaining renal function. Chronic renal failure should not be a contraindication to an elective or emergent surgical procedure.

Original languageEnglish (US)
Pages (from-to)316-321
Number of pages6
JournalWestern Journal of Medicine
Volume146
Issue number3
StatePublished - 1987

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Kidney
Chronic Kidney Failure
Oliguria
Acute Kidney Injury
Liver Diseases
Creatinine
Sepsis
Morbidity
Physicians
Mortality
Anesthesiologists
Surgeons

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Preserving renal function in surgical patients. / Whiteside-Yim, C.; Fitzgerald, Faith T.

In: Western Journal of Medicine, Vol. 146, No. 3, 1987, p. 316-321.

Research output: Contribution to journalArticle

Whiteside-Yim, C. ; Fitzgerald, Faith T. / Preserving renal function in surgical patients. In: Western Journal of Medicine. 1987 ; Vol. 146, No. 3. pp. 316-321.
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