Anesthetic Considerations for Patients on Renal Replacement Therapy.

Christine Acho, Anoop Chhina, Dragos Galusca

Journal: Anesthesiology clinics 2020;38(1):51-66

PMID: 32008657

Full Text on Elsevier Science View on PubMed

Abstract

The number of patients presenting for surgery with renal dysfunction requiring renal replacement therapy (RRT) is expected to increase as the population ages and improvements in therapy continue to be made. Every aspect of the perioperative period is affected by renal dysfunction, its associated comorbidities, and altered physiology secondary to RRT. Most alarming is the increased risk for perioperative cardiac morbidity and mortality seen in this population. Perioperative optimization and management aims to minimize these risks; however, few definite guidelines on how to do so exist.

Address: Department of Anesthesiology, Pain Management & Perioperative Medicine, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202, USA. Electronic address: [email protected].; Department of Anesthesiology, Pain Management & Perioperative Medicine, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI 48202, USA.

DOI: 10.1016/j.anclin.2019.10.003

Link outs

Free resources

Medical:

https://medlineplus.gov/anesthesia.html

Subscription / membership required

Full Text Sources:

MeSH Terms: Anesthesia, Fluid Therapy, Humans, Kidney Failure, Chronic, Preoperative Care, Renal Replacement Therapy, Vascular Access Devices, Water-Electrolyte Imbalance