Surgery in the patient with renal disease

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Introduction Kidney disease encompasses a wide spectrum of disorders, ranging from those with normal glomerular filtration rates (GFR) but with urinary abnormalities (nephrotic syndrome or nephritic syndrome), to those with GFR impairments. Patients with a long-standing history (months to years) of renal disease are deemed to have chronic kidney disease (CKD). A staging system has been developed by the National Kidney Foundation to categorize CKD by GFR levels: Stage 1 (GFR ≥ 90 mL/min, but with persistent urinary abnormalities such as proteinuria); Stage 2, mild CKD (GFR 60–89 mL/min); Stage 3, moderate CKD (GFR 30–59 mL/min); Stage 4, severe CKD (GFR 15–29 mL/min); and finally Stage 5, kidney failure or end-stage renal disease (ESRD) (GFR < 15 mL/min or on some form of renal replacement therapy). There is clinical rationale in dividing CKD into these stages; patients with more advanced stages, especially those at stage 3 or higher, have higher rates of death, cardiovascular events, and hospitalizations [1]. In contrast to established kidney disease, acute kidney injury (AKI), previously termed “acute renal failure,” reflects renal dysfunction that arises in the span of hours to days. AKI can develop in those with previously normal kidney function or can be superimposed upon existing CKD. More advanced CKD stages 3 through 5 and AKI are most commonly associated with perioperative complications, and these patients will be the focus of this chapter.

Original languageEnglish (US)
Title of host publicationMedical Management of the Surgical Patient: A Textbook of Perioperative Medicine, Fifth Edition
PublisherCambridge University Press
Pages299-330
Number of pages32
ISBN (Print)9780511920660, 9781107009165
DOIs
StatePublished - Jan 1 2010

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Glomerular Filtration Rate
Chronic Renal Insufficiency
Kidney
Acute Kidney Injury
Kidney Diseases
Renal Replacement Therapy
Nephrotic Syndrome
Proteinuria
Chronic Kidney Failure
Renal Insufficiency
Hospitalization
History
Mortality

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Chin, A. I., Yeun, J. Y., & Don, B. R. (2010). Surgery in the patient with renal disease. In Medical Management of the Surgical Patient: A Textbook of Perioperative Medicine, Fifth Edition (pp. 299-330). Cambridge University Press. https://doi.org/10.1017/CBO9780511920660.030

Surgery in the patient with renal disease. / Chin, Andrew I; Yeun, Jane Y; Don, Burl R.

Medical Management of the Surgical Patient: A Textbook of Perioperative Medicine, Fifth Edition. Cambridge University Press, 2010. p. 299-330.

Research output: Chapter in Book/Report/Conference proceedingChapter

Chin, AI, Yeun, JY & Don, BR 2010, Surgery in the patient with renal disease. in Medical Management of the Surgical Patient: A Textbook of Perioperative Medicine, Fifth Edition. Cambridge University Press, pp. 299-330. https://doi.org/10.1017/CBO9780511920660.030
Chin AI, Yeun JY, Don BR. Surgery in the patient with renal disease. In Medical Management of the Surgical Patient: A Textbook of Perioperative Medicine, Fifth Edition. Cambridge University Press. 2010. p. 299-330 https://doi.org/10.1017/CBO9780511920660.030
Chin, Andrew I ; Yeun, Jane Y ; Don, Burl R. / Surgery in the patient with renal disease. Medical Management of the Surgical Patient: A Textbook of Perioperative Medicine, Fifth Edition. Cambridge University Press, 2010. pp. 299-330
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