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Early Detection of Acute Kidney Injury after Cardiac Surgery: A Problem Solved?

  • M. HeringlakeEmail author
  • C. Schmidt
  • A. E. Berggreen
Part of the Annual Update in Intensive Care and Emergency Medicine book series (AUICEM)

Introduction

Acute kidney injury (AKI) is a frequent complication in patients undergoing cardiac surgery and associated with increased morbidity as well as short‐ and long‐term mortality [1]. Unfortunately, although the number of patients with severe AKI after major surgery is steadily increasing, mortality has not changed substantially for decades [2]. This contrasts sharply with other fields of critical care medicine – like the treatment of myocardial infarction – in which the development of sensitive markers of myocardial injury has fostered earlier diagnosis, rapid interventions, and thereby ultimately has led to improved outcomes [3].

It has thus been argued that the lack of medical progress in preventing and treating cardiac surgery‐associated AKI as well as the poor prognosis may, at least in part, be related to the fact that the diagnosis of AKI is often delayed until kidney function is severely reduced and renal replacement becomes necessary, and that measures allowing...

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Anesthesiology and Intensive Care MedicineUniversity of LübeckLübeckGermany

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