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Perioperative acute kidney injury

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Author(s): Calvert Stacey | Shaw Andrew

Journal: Perioperative Medicine
ISSN 2047-0525

Volume: 1;
Issue: 1;
Start page: 6;
Date: 2012;
Original page

Keywords: Acute kidney injury | Biomarkers | Perioperative | Pharmacological interventions | Risk stratification

ABSTRACT
Abstract Acute kidney injury (AKI) is a serious complication in the perioperative period, and is consistently associated with increased rates of mortality and morbidity. Two major consensus definitions have been developed in the last decade that allow for easier comparison of trial evidence. Risk factors have been identified in both cardiac and general surgery and there is an evolving role for novel biomarkers. Despite this, there has been no real change in outcomes and the mainstay of treatment remains preventive with no clear evidence supporting any therapeutic intervention as yet. This review focuses on definition, risk factors, the emerging role of biomarkers and subsequent management of AKI in the perioperative period, taking into account new and emerging strategies.
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