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The patient at risk for acute renal failure. Recognition, prevention, and preoperative optimization



The patient at risk for acute renal failure. Recognition, prevention, and preoperative optimization



Anesthesiology Clinics of North America 18(4): 705-717



Despite major advances in critical care medicine and extracorporeal renal support, the treatment of established postoperative ARF remains unsatisfactory and costly. The essential elements of perioperative renal preservation are early recognition of high-risk patients, preoperative optimization of fluid status and cardiovascular performance, intraoperative maintenance of renal perfusion, and avoidance of nephrotoxins. Pharmacologic interventions directed at preventing postoperative ARF are under intense investigation but presently are limited to renal transplant surgery.

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Accession: 047696026

Download citation: RISBibTeXText

PMID: 11094686

DOI: 10.1016/s0889-8537(05)70190-5


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