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Zabolotskikh I.B.

Kuban State Medical University

Lebedinskii K.M.

North-Western State Medical University n.a. Mechnikov, Federal Research;
Clinical Center of Intensive Care Medicine and Rehabilitology

Afonchikov V.S.

Dzhanelidze St. Petersburg Research Institute for Emergency Care

Bayalieva A.Zh.

Kazan State Medical University

Gromova E.G.

Blokhin National Medical Oncology Research Center

Levit A.L.

Sverdlovsk Regional Clinical Hospital No. 1

Lubnin A.Yu.

Burdenko Neurosurgical Center

Potievskaya V.I.

Herzen Moscow Research Oncological Institute — Branch of the National Medical Research Center of Radiology

Sinkov S.V.

Kuban State Medical University;
Regional Clinical Hospital

Khoroshilov S.E.

Negovsky Research Institute of General Reanimatology of the Federal Research and Clinical Center for Reanimatology and Rehabilitology;
Burdenko Main Military Clinical Hospital

Shadrin R.V.

SBIHC «Children’s Regional Clinical Hospital» of the Ministry of Healthcare of Kuban State of the Russian Federation

Shchegolev A.V.

Kirov Military Medical Academy

Perioperative management of patients with renal failure

Authors:

Zabolotskikh I.B., Lebedinskii K.M., Afonchikov V.S., Bayalieva A.Zh., Gromova E.G., Levit A.L., Lubnin A.Yu., Potievskaya V.I., Sinkov S.V., Khoroshilov S.E., Shadrin R.V., Shchegolev A.V.

More about the authors

Journal: Russian Journal of Anesthesiology and Reanimatology. 2021;(5): 6‑22

DOI: 10.17116/anaesthesiology20210516

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Table of contents

PERIOPERATIVE MANAGEMENT OF PATIENTS WITH RENAL FAILURE
PERIOPERATIVE MANAGEMENT OF PATIENTS WITH RENAL FAILURE

To cite this article:

Zabolotskikh IB, Lebedinskii KM, Afonchikov VS, et al. . Perioperative management of patients with renal failure. Russian Journal of Anesthesiology and Reanimatology. 2021;(5):6‑22. (In Russ.)
https://doi.org/10.17116/anaesthesiology20210516

 
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Renal failure is a widespread and dangerous disease. It can be chronic, due to chronic kidney disease (CKD), and acute, due to acute kidney injury (AKI). AKI, despite the improvement of medical technologies, is often not diagnosed timely and is the cause of adverse outcomes, including deaths. Patients with kidney disease often undergo surgical interventions, while the anesthetic risk increases significantly. Complex hemodynamic, biochemical and water-electrolyte disorders requires special approaches to the choice of anesthetics, anesthesia technique, and perioperative monitoring. This article presents the risk factors for the development of AKI, the criteria for the diagnosis of AKI, the features of dose adjustment of various drugs for this pathology, the features of infusion therapy and nutritional support, and many other aspects of the perioperative management of patients with renal failure.

Keywords:

renal failure
acute kidney injury
chronic kidney disease
renal replacement therapy
anesthesia
perioperative period

Authors:

Zabolotskikh I.B.

Kuban State Medical University

Lebedinskii K.M.

North-Western State Medical University n.a. Mechnikov, Federal Research;
Clinical Center of Intensive Care Medicine and Rehabilitology

Afonchikov V.S.

Dzhanelidze St. Petersburg Research Institute for Emergency Care

Bayalieva A.Zh.

Kazan State Medical University

Gromova E.G.

Blokhin National Medical Oncology Research Center

Levit A.L.

Sverdlovsk Regional Clinical Hospital No. 1

Lubnin A.Yu.

Burdenko Neurosurgical Center

Potievskaya V.I.

Herzen Moscow Research Oncological Institute — Branch of the National Medical Research Center of Radiology

Sinkov S.V.

Kuban State Medical University;
Regional Clinical Hospital

Khoroshilov S.E.

Negovsky Research Institute of General Reanimatology of the Federal Research and Clinical Center for Reanimatology and Rehabilitology;
Burdenko Main Military Clinical Hospital

Shadrin R.V.

SBIHC «Children’s Regional Clinical Hospital» of the Ministry of Healthcare of Kuban State of the Russian Federation

Shchegolev A.V.

Kirov Military Medical Academy

Received:

26.07.2021

Accepted:

15.08.2021

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