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Clinical Pearls: Non-dialytic Management of Kidney Complications in the Postoperative Period

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Perioperative Kidney Injury

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Abstract

Acute kidney injury (AKI) is a common complication in the postoperative period whose risk increases with the complexity and type of surgery and preoperative chronic kidney disease (CKD). As expected, renal dysfunction in a critically ill patient during the postoperative period is associated with a range of perturbations including volume regulation, electrolyte, and acid/base disorders. The majority of AKI patients do not require renal replacement therapy and need a stepwise approach in recognizing and managing these complications in the perioperative period. The following chapter discusses the key principles in maximizing renal perfusion during the postoperative period and managing complications of decreased renal function including volume manegement, electrolyte disorders, and acid/base derangements.

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Author information

Authors and Affiliations

  1. Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Emory University, 550 Peachtree Street, NE, Davis-Fischer Bldg – Room 3243-E, Atlanta, GA, 30308, USA

    Michael J. Connor Jr. MD

  2. Division of Nephrology, Department of Medicine, Emory University, 1639 Pierce Drive, WMB Suite 3300, Atlanta, GA, 30322, USA

    Anju Oommen MD

Authors
  1. Michael J. Connor Jr. MD
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  2. Anju Oommen MD
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Corresponding author

Correspondence to Michael J. Connor Jr. MD .

Editor information

Editors and Affiliations

  1. Division of Nephrology and Hypertension, University of Cincinnati, Cincinnati, Ohio, USA

    Charuhas V. Thakar

  2. Program of Applied Translational Research, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA

    Chirag R. Parikh

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Connor, M.J., Oommen, A. (2015). Clinical Pearls: Non-dialytic Management of Kidney Complications in the Postoperative Period. In: Thakar, C., Parikh, C. (eds) Perioperative Kidney Injury. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1273-5_5

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  • DOI: https://doi.org/10.1007/978-1-4939-1273-5_5

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1272-8

  • Online ISBN: 978-1-4939-1273-5

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