Surgery in the Patient with Renal Dysfunction

Surger y in the Patient with Renal Dys func tion Dean R. Jones, MD, FRCPCa, Lee, MD, PhDb,*. KEYWORDS. Chronic kidney disease Acute kidney injury Renal failure Renal protection Preoperative evaluation Millions of patients with Renal Dysfunction have Surgery each year. The social and financial impact on the health care system is Preoperative evaluation should attempt to reduce morbidity and mortality and improve quality in this complex Patient population. Renal Dysfunction represents a spectrum of disease with potentially far-ranging consequences on surgical and anesthetic management due to not only the underlying disease processes but also from the intervening medical and surgical therapies. Furthermore, optimization of the Patient with Renal Dysfunction needs to not only consider the preexisting Renal function but also the potential risk of acute kidney injury (AKI) in the perioperative setting.

Surgery in the Patient with Renal Dysfunction DeanR.Jones,MD,FRCPCa,H.T.Lee,MD, PhDb,* Millions of patients with renal dysfunction have surgery each year. The social and financial impact on the health care system is enormous.1 Preoperative evaluation should attempt to reduce morbidity and mortality and improve quality in this complex

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