Optimization of kidney function in cardiac surgery patients with intra-abdominal hypertension: expert opinion.
Perioper Med (Lond)
; 13(1): 72, 2024 Jul 12.
Article
en En
| MEDLINE
| ID: mdl-38997752
ABSTRACT
Cardiac surgery-associated acute kidney injury (CSA-AKI) affects up to 42% of cardiac surgery patients. CSA-AKI is multifactorial, with low abdominal perfusion pressure often overlooked. Abdominal perfusion pressure is calculated as mean arterial pressure minus intra-abdominal pressure (IAP). IAH decreases cardiac output and compresses the renal vasculature and renal parenchyma. Recent studies have highlighted the frequent occurrence of IAH in cardiac surgery patients and have linked the role of low perfusion pressure to the occurrence of AKI. This review and expert opinion illustrate current evidence on the pathophysiology, diagnosis, and therapy of IAH and ACS in the context of AKI.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
Revista:
Perioper Med (Lond)
Año:
2024
Tipo del documento:
Article
País de afiliación:
Estados Unidos