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Renal Complications and Their Management After Adult Cardiac Surgery

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Postoperative Critical Care for Adult Cardiac Surgical Patients

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Abstract

Acute kidney injury (AKI) is a serious postoperative complication following cardiac surgery. Despite the incidence of AKI requiring temporary renal replacement therapy being low, it is nonetheless associated with high morbidity and mortality. Therefore, preventing AKI associated with cardiac surgery can dramatically improve outcomes in these patients. The pathogenesis of AKI is multifactorial, and many attempts to prevent or treat renal injury have been met with limited success. This chapter will discuss the incidence and risk factors for cardiac surgery-associated AKI, including the pathophysiology, potential biomarkers of injury, and treatment modalities.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA

    Juan M. Perrone M.D.

  2. Cardiothoracic Anesthesiology and Critical Care, Department of Anesthesia, Critical Care and Pain Medicine, Corrigan Minehan Heart Center, Boston, MA, USA

    Gaston Cudemus M.D.

  3. Division of Cardiac Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA

    Gaston Cudemus M.D.

Authors
  1. Juan M. Perrone M.D.
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  2. Gaston Cudemus M.D.
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Corresponding author

Correspondence to Juan M. Perrone M.D. .

Editor information

Editors and Affiliations

  1. Shahid Beheshti Univ Med Sci, Sa'adat Abad, Tehran, Iran

    Ali Dabbagh

  2. Cedars-Sinai Heart Institute, Los Angeles, California, USA

    Fardad Esmailian

  3. Brigham and Women's Hospital, Boston, Massachusetts, USA

    Sary Aranki

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Perrone, J.M., Cudemus, G. (2018). Renal Complications and Their Management After Adult Cardiac Surgery. In: Dabbagh, A., Esmailian, F., Aranki, S. (eds) Postoperative Critical Care for Adult Cardiac Surgical Patients. Springer, Cham. https://doi.org/10.1007/978-3-319-75747-6_10

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  • DOI: https://doi.org/10.1007/978-3-319-75747-6_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-75746-9

  • Online ISBN: 978-3-319-75747-6

  • eBook Packages: MedicineMedicine (R0)

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