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Renal Failure and Dialysis

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Evidence-Based Practice in Perioperative Cardiac Anesthesia and Surgery

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Abstract

Acute kidney injury (AKI) is a common and serious complication of cardiac surgery. The spectrum of cardiac surgery-associated AKI (CS-AKI) ranges from transient loss of renal reserve, through AKI, to long-term irreversible renal failure requiring renal replacement therapy (RRT). Notably, CS-AKI is also associated with numerous complications including: short and long-term mortality; development and progression of chronic kidney disease (CKD); extended hospital and intensive care unit (ICU) lengths of stay; and hospital readmission (Brown et al. Ann Thorac Surg 97(1):111–117, 2014; Pickering et al. Am J Kidney Dis 65(2):283–293, 2015; Xu et al. Medicine 94(45):e2025, 2015; Hu et al. J Cardiothorac Vasc Anesth 30(1):82–89, 2016). Thus, a review of avoidable CS-AKI sources, and interventions that preserve or promote recovery of renal function is highly pertinent to care of cardiac surgical patients.

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Authors and Affiliations

  1. Department of Anesthesiology, Duke University School of Medicine, Durham, NC, USA

    Anne D. Cherry, Benjamin Y. Andrew, Jamie R. Privratsky & Mark Stafford-Smith

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  1. Anne D. Cherry
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  2. Benjamin Y. Andrew
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  3. Jamie R. Privratsky
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  4. Mark Stafford-Smith
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Correspondence to Mark Stafford-Smith .

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Editors and Affiliations

  1. Distinguished University Professor Department of Anesthesia and Perioperative Medicine and Department of MedicineDivision of Critical Care Medicine, London Health Sciences Center and St Joseph’s Healthcare London Centre for Medical Evidence, Decision Integrity and Clinical Impact (MEDICI) Western University, London, ON, Canada

    Davy C.H. Cheng

  2. Associate Professor Department of Anesthesia and Perioperative Medicine and Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Centre for Medical Evidence, Decision Integrity and Clinical Impact (MEDICI) Western University, London, ON, Canada

    Janet Martin

  3. Professor of Surgery University of Toronto, Melanie Munk Chair of Cardiovascular Surgery University Health Network, Toronto, ON, Canada

    Tirone David

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Cherry, A.D., Andrew, B.Y., Privratsky, J.R., Stafford-Smith, M. (2021). Renal Failure and Dialysis. In: Cheng, D.C., Martin, J., David, T. (eds) Evidence-Based Practice in Perioperative Cardiac Anesthesia and Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-47887-2_54

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