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Title:Acute kidney injury after open-heart surgery procedures
Authors:ID Djordjević, Anže (Author)
ID Šušak, Stamenko (Author)
ID Velicki, Lazar (Author)
ID Antonič, Miha (Author)
Files:.pdf Djordjevic-2021-ACUTE_KIDNEY_INJURY_AFTER_OPEN.pdf (247,36 KB)
MD5: 85DCE64E8D2D28712556E754A77AF77F
 
URL https://doi.org/10.20471/acc.2021.60.01.17
 
Language:English
Work type:Scientific work
Typology:1.02 - Review Article
Organization:MF - Faculty of Medicine
Abstract:Cardiac surgery-associated acute kidney injury (CS-AKI) is a major complication associated with increased morbidity and mortality. There are multiple diagnostic criteria for CS-AKI. Despite many new investigations available for improved AKI diagnostics, creatinine and urea remain the cornerstone of diagnostics in everyday clinical practice. There are three major pathophysiological mechanisms that contribute to kidney injury, i.e. renal hypoperfusion, inflammation with oxidative stress, and use of nephrotoxic agents. Some risk factors have been identified that can be modified during the course of treatment (use of nephrotoxic agents, duration of cardiopulmonary bypass, type of extracorporeal circulation, postoperative low cardiac output or hypotension). The aim of AKI prevention should always be to prevent aggravation of renal failure and, if possible, to avoid progression to renal replacement therapy, which in turn brings worse long-term outcomes.
Keywords:kidney injuries, cardiac surgery, perfusion, oxidative stress, dialysis
Publication status:Published
Publication version:Version of Record
Publication date:01.03.2021
Publisher:Sestre milosrdnice University Hospital, Institute for Clinical Medical Research
Year of publishing:2021
Number of pages:Str. 120-126
Numbering:Letn. 60, Št. 1
PID:20.500.12556/DKUM-89754 New window
UDC:616.12-089
ISSN on article:1333-9451
COBISS.SI-ID:70352387 New window
DOI:10.20471/acc.2021.60.01.17 New window
Note:Ključne besede v slovenščini: poškodbe ledvic, srčna kirurgija, perfuzija, oksidativni stres, dializa
Publication date in DKUM:09.08.2024
Views:539
Downloads:17
Metadata:XML DC-XML DC-RDF
Categories:Misc.
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Record is a part of a journal

Title:Acta clinica Croatica
Shortened title:Acta clin. Croat.
Publisher:Sestre milosrdnice University Hospital, Institute for Clinical Medical Research
ISSN:1333-9451
COBISS.SI-ID:6272831 New window

Licences

License:CC BY-NC-ND 4.0, Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
Link:http://creativecommons.org/licenses/by-nc-nd/4.0/
Description:The most restrictive Creative Commons license. This only allows people to download and share the work for no commercial gain and for no other purposes.
Licensing start date:01.03.2021

Secondary language

Language:Croatian
Title:Akutno bubrežno oštećenje nakon operacija na otvorenom srcu
Abstract:Akutno bubrežno oštećenje povezano s kardiokirurgijom (cardiac surgery-associated acute kidney injury, CS-AKI) je zna- čajna komplikacija s visokim pobolom i smrtnošću. Postoji više dijagnostičkih kriterija za dijagnozu CS-AKI. Usprkos mnogim novim istraživanjima, kreatinin i ureja ostaju temelj dijagnostike. Glavni patofiziološki procesi koji doprinose bubrežnom oštećenju su bubrežna hipoperfuzija, upala uzrokovana oksidativnim stresom i bubrežno oštećenje uzrokovano upotrebom nefrotoksičnih sredstava. Tijekom terapije može se utjecati na nekoliko čimbenika rizika (upotreba nefrotoksič- nih sredstava, trajanje kardiopulmonarne premosnice, tip izvantjelesne cirkulacije, smanjeni minutni volumen ili poslijeoperacijska hipotenzija). Cilj prevencije AKI je spriječiti progresiju bubrežnog oštećenja koje zahtijeva kompleksniju terapiju i donosi lošije dugoročne ishode.
Keywords:bubrežno oštećenje, kardiokirurgija, perfuzija, oksidativni stres, dijaliza


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