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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
Journal: Russian Journal of Anesthesiology and Reanimatology. 2021;(5): 6‑22
Views: 6642
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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
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:
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
List of references:
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