kidney function; cardiac surgery; fonction rénale; chirurgie cardiaque
Abstract :
[en] High prevalence of the problem in part due to ageing with CKD
- Consequences for the patient and the economy of health
- Danger of CKD development or aggravation, mortality
Need for early diagnosis (new biomarkers?) but not yet proof of efficacy for prevention. Useful for predicting prognosis?
Prevention first: interval between contrast agents use and surgery, caution about medical therapy, fluid volume balance, importance of the kind of solution used, quality of the CBP!
Treatment: avoid complications when AKI installed, nutrition !
Early RRT (?)(rapid uremic control or fluid balance?) but high mortality even after hospital discharge (max 1/3 survival at 1 y)
Disciplines :
Surgery Urology & nephrology
Author, co-author :
Krzesinski, Jean-Marie ; Université de Liège > Département des sciences cliniques > Néphrologie