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Difficult Decisions in Cardiothoracic Critical Care Surgery pp 511–523Cite as

Cardiac Surgery Acute Kidney Injury: Controversy in Renal Support

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Part of the book series: Difficult Decisions in Surgery: An Evidence-Based Approach ((DDSURGERY))

Abstract

Acute kidney injury (AKI) is a common complication after cardiac surgery and is associated with increased patient morbidity and mortality including hospital readmissions. Cardiac surgery-associated acute kidney injury (CS-AKI) manifests often in the post-operative setting and is frequently related to patient co-morbidities as well as intraoperative factors that are not easily modifiable. Detecting AKI usually relies on decreases in urine output and acute increases in serum creatinine, and management in the post-operative period focuses on reducing ongoing renal insult, prudent management of perioperative hemodynamics and patient volume status. When acute renal failure occurs, renal replacement therapies (RRT) are commonly required for management of these critically ill patients, although debate persists on the optimal timing to initiate RRT when acute renal injury occurs after cardiac surgery.

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Author information

Authors and Affiliations

  1. University of Washington, Department of Surgery, Division of Cardiothoracic Surgery, Seattle, WA, USA

    Aaron M. Cheng

  2. University Washington Medical Center Cardiothoracic ICU, Seattle, WA, USA

    Aaron M. Cheng

  3. Tufts Medical Center, Department of Medicine, Division of Nephrology, Boston, MA, USA

    Seth Wright

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  1. Aaron M. Cheng
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  2. Seth Wright
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Correspondence to Aaron M. Cheng .

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Editors and Affiliations

  1. University of Chicago Medicine, Chicago, IL, USA

    Vassyl A. Lonchyna

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Cheng, A.M., Wright, S. (2019). Cardiac Surgery Acute Kidney Injury: Controversy in Renal Support. In: Lonchyna, V. (eds) Difficult Decisions in Cardiothoracic Critical Care Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-030-04146-5_35

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  • DOI: https://doi.org/10.1007/978-3-030-04146-5_35

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-04145-8

  • Online ISBN: 978-3-030-04146-5

  • eBook Packages: MedicineMedicine (R0)

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