title: [Strategies for prevention of acute kidney injury in cardiac surgery: an integrative review].
abstract: Acute kidney injury is a common complication after cardiac surgery and is associated with increased morbidity and mortality and increased length of stay in the intensive care unit. Considering the high prevalence of acute kidney injury and its association with worsened prognosis, the development of strategies for renal protection in hospitals is essential to reduce the associated high morbidity and mortality, especially for patients at high risk of developing acute kidney injury, such as patients who undergo cardiac surgery. This integrative review sought to assess the evidence available in the literature regarding the most effective interventions for the prevention of acute kidney injury in patients undergoing cardiac surgery. To select the articles, we used the CINAHL and MedLine databases. The sample of this review consisted of 16 articles. After analyzing the articles included in the review, the results of the studies showed that only hydration with saline has noteworthy results in the prevention of acute kidney injury. The other strategies are controversial and require further research to prove their effectiveness.
authors.affiliation: Instituto do Coração, Hospital das Clínicas, Universidade de São Paulo, São Paulo, SP, Brasil.
authors.forename: Eduesley
authors.initials: E
authors.lastname: Santana-Santos
authors.affiliation: Instituto do Coração, Hospital das Clínicas, Universidade de São Paulo, São Paulo, SP, Brasil.
authors.forename: Marila Eduara Fátima
authors.initials: ME
authors.lastname: Marcusso
authors.affiliation: Instituto do Coração, Hospital das Clínicas, Universidade de São Paulo, São Paulo, SP, Brasil.
authors.forename: Amanda Oliveira
authors.initials: AO
authors.lastname: Rodrigues
authors.affiliation: Instituto do Coração, Hospital das Clínicas, Universidade de São Paulo, São Paulo, SP, Brasil.
authors.forename: Fernanda Gomes de
authors.initials: FG
authors.lastname: Queiroz
authors.affiliation: Instituto do Coração, Hospital das Clínicas, Universidade de São Paulo, São Paulo, SP, Brasil.
authors.forename: Larissa Bertacchini de
authors.initials: LB
authors.lastname: Oliveira
authors.affiliation: Instituto do Coração, Hospital das Clínicas, Universidade de São Paulo, São Paulo, SP, Brasil.
authors.forename: Adriano Rogério Baldacin
authors.initials: AR
authors.lastname: Rodrigues
authors.affiliation: Instituto do Coração, Hospital das Clínicas, Universidade de São Paulo, São Paulo, SP, Brasil.
authors.forename: Jurema da Silva Herbas
authors.initials: Jda S
authors.lastname: Palomo
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology / Q000517:prevention & control*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D007902:Length of Stay; D015995:Prevalence; D011379:Prognosis; D012306:Risk; D012965:Sodium Chloride / Q000008:administration & dosage*
chemical_list: D012965:Sodium Chloride