title: [Perioperative management after non-cardiac surgery in patients with chronic kidney disease].
abstract: The number of patients with chronic kidney disease (CKD) continues to increase all over the world for the past ten years. It follows that we have more CKD patients with various complications who need perioperative management in Japan. Previous studies revealed that impaired renal function in preoperative period was the independent predictor of postoperative renal dysfunction. Safe comprehensive anesthetic management is required in order not to aggravate the preoperative CKD. In this review, we will take up some recent topics and novel concept in association with noncardiac surgery for the perioperative management of CKD patients.
authors.affiliation: Department of Anesthesiology and Intensive Care, Kyoto Prefectural University of Medicine, Kyoto 602-8566.
authors.forename: Yoshinobu
authors.initials: Y
authors.lastname: Nakayama
authors.affiliation: Department of Anesthesiology and Intensive Care, Kyoto Prefectural University of Medicine, Kyoto 602-8566.
authors.forename: Yasufumi
authors.initials: Y
authors.lastname: Nakajima
authors.affiliation: Department of Anesthesiology and Intensive Care, Kyoto Prefectural University of Medicine, Kyoto 602-8566.
authors.forename: Satoru
authors.initials: S
authors.lastname: Ogawa
authors.affiliation: Department of Anesthesiology and Intensive Care, Kyoto Prefectural University of Medicine, Kyoto 602-8566.
authors.forename: Jun
authors.initials: J
authors.lastname: Iida
authors.affiliation: Department of Anesthesiology and Intensive Care, Kyoto Prefectural University of Medicine, Kyoto 602-8566.
authors.forename: Toshiki
authors.initials: T
authors.lastname: Mizobe
mesh_terms: D000138:Acidosis / Q000209:etiology; D058186:Acute Kidney Injury / Q000517:prevention & control*; D000776:Anesthesiology / Q000379:methods*; D001342:Autonomic Nervous System Diseases / Q000209:etiology; D001778:Blood Coagulation Disorders / Q000209:etiology; D003327:Coronary Disease / Q000209:etiology; D004066:Digestive System Diseases / Q000150:complications / Q000601:surgery; D013505:Digestive System Surgical Procedures; D005260:Female; D005919:Glomerular Filtration Rate; D006801:Humans; D008297:Male; D019990:Perioperative Care / Q000379:methods*; D011175:Positive-Pressure Respiration; D011183:Postoperative Complications / Q000517:prevention & control*; D011507:Proteinuria; D051436:Renal Insufficiency, Chronic / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D012720:Severity of Illness Index; D014883:Water-Electrolyte Imbalance / Q000209:etiology