Perioperative care of the patient with renal failure.
Preventing postoperative ARF, especially in subjects with pre-existing chronic kidney disease, and caring for ESRD patients undergoing surgery are challenging and best accomplished by a team comprised of primary care physician, nephrologist, cardiologist, surgeon, anesthesiologist, endocrinologist, and nutritionist. Elimination of risk factors for ARF whenever possible, as well as early diagnosis, may improve the outcome of this devastating illness. Drugs capable of preventing or changing the course of postoperative ARF may be available soon. For uremic patients, a comprehensive approach is necessary to minimize morbidity and mortality imposed by numerous comorbid conditions.
Joseph
Anthony J
AJ
Division of Nephrology, State University of New York, Downstate Medical Center, 450 Clarkson Avenue, Box 52, Brooklyn, NY 11203, USA. anjjoseph@netscape.net
Cohn
Steven L
SL
D058186:Acute Kidney Injury / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control / Q000628:therapy; D003327:Coronary Disease / Q000150:complications / Q000175:diagnosis; D006801:Humans; D007430:Intraoperative Care; D007676:Kidney Failure, Chronic / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D019990:Perioperative Care; D011183:Postoperative Complications / Q000517:prevention & control; D006435:Renal Dialysis