Paper Information

Journal:   ANESTHESIOLOGY AND PAIN MEDICINE   JUNE 2016 , Volume 6 , Number 3; Page(s) 0 To 0.
 
Paper: 

FROM PRE-EXISTING RENAL FAILURE TO PERIOPERATIVE RENAL PROTECTION: THE ANESTHESIOLOGIST’S DILEMMAS

 
 
Author(s):  DOMI RUDIN*, HUTI GENTIAN, SULA HEKTOR, BAFTIU NEHAT, KACI MYZAFER, BODECI ARTAN, PESHA ALBERT
 
* DEPARTMENT OF ANESTHESIOLOGY AND INTENSIVE CARE MEDICINE, “MOTHER TERESA” UNIVERSITY HOSPITAL CENTER, FACULTY OF MEDICINE, MEDICAL UNIVERSITY OF ALBANIA, TIRANA, ALBANIA
 
Abstract: 

Context: Pre-existing renal dysfunction presents specific features that anesthesiologists must deal with. Anesthesia and renal function are connected and can interfere with each other. Induced hypotension anesthesia and the toxic effects of anesthetic drugs can further deteriorate renal function.
Evidence Acquisition: Decreased renal function can prolong anesthetic drug effects by decreased elimination of these drugs. Anesthesia can deteriorate renal function and decreased renal function can interfere with drug elimination leading to their prolonged effect. The anesthesiologist must understand all the physiological aspects of the patient, renal protection, and the relationships between anesthetic drugs and renal function. This review article aims to summarize these aspects.
Results: Perioperative renal failure and renal protection is a crucial moment in clinical practice of every anesthesiologist.
Conclusions: Good knowledge’s for renal function remain a hallmark of daily practice of the anesthesiologist, considering renal function as an important determinant factor in anesthesia practice.

 
Keyword(s): ANESTHESIA, ACUTE KIDNEY INJURY, RENAL PROTECTION
 
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