Perioperative management of patients with renal failure

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.

doi:https://doi.org/10.17116/anaesthesiology20210516

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Abstract:

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

SPIN RSCI: 5142-1661
Scopus AuthorID: 6508104506
ResearcherID: O-2705-2014
ORCID: 0000-0002-3623-2546

Lebedinskii K.M.

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

SPIN RSCI: 3590-2308
Scopus AuthorID: 6602775085
ResearcherID: O-8655-2014
ORCID: 0000-0002-5752-4812

Afonchikov V.S.

Dzhanelidze St. Petersburg Research Institute for Emergency Care

ORCID: 0000-0003-4851-0619

Bayalieva A.Zh.

Kazan State Medical University

Gromova E.G.

Blokhin National Medical Oncology Research Center

SPIN RSCI: 6518-2080
Scopus AuthorID: 57206253500
ORCID: 0000-0002-4633-8301

Levit A.L.

Sverdlovsk Regional Clinical Hospital No. 1

RSCI AuthorID: 366248
Scopus AuthorID: 7003646056
ORCID: 0000-0002-9112-1259

Lubnin A.Yu.

Burdenko Neurosurgical Center

RSCI AuthorID: 370609
Scopus AuthorID: 57192157123
ORCID: 0000-0003-2595-5877

Potievskaya V.I.

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

ORCID: 0000-0002-2459-7273

Sinkov S.V.

Kuban State Medical University;
Regional Clinical Hospital

SPIN RSCI: 4413-0869
Scopus AuthorID: 57218212478
ORCID: 0000-0003-4483-4077

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

SPIN RSCI: 7071-6642
Scopus AuthorID: 56737015600
ResearcherID: V-1770-2017
ORCID: 0000-0002-0427-8099

Shadrin R.V.

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

SPIN RSCI: 7739-8707
Scopus AuthorID: 57331586100
ORCID: 0000-0002-0249-6615

Shchegolev A.V.

Kirov Military Medical Academy

SPIN RSCI: 4107-6860
Scopus AuthorID: 7003338841
ResearcherID: J-4326-2013
ORCID: 0000-0001-6431-439X

Received:

26.07.2021

Accepted:

15.08.2021

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