Optimization of kidney function in cardiac surgery patients with intra-abdominal hypertension: expert opinion

Autor:	Vanessa Moll, Ashish K. Khanna, Andrea Kurz, Jiapeng Huang, Marije Smit, Madhav Swaminathan, Steven Minear, K. Gage Parr, Amit Prabhakar, Manxu Zhao, Manu L. N. G. Malbrain
Jazyk:	angličtina
Rok vydání:	2024
Předmět:	Intra-abdominal pressure Acute kidney injury Monitoring Prevention Management Cardiac surgery Surgery RD1-811
Zdroj:	Perioperative Medicine, Vol 13, Iss 1, Pp 1-15 (2024)
Druh dokumentu:	article
ISSN:	2047-0525
DOI:	10.1186/s13741-024-00416-5
Popis:	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.
Databáze:	Directory of Open Access Journals
Externí odkaz:	https://doaj.org/article/5f96b3a3810a41a0b6ce30e4532f267d Zobrazit plný text záznamu View record in DOAJ Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.