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Perioperative Care of the Orthopedic Patient with Renal Disease

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Perioperative Care of the Orthopedic Patient

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Abstract

Chronic kidney disease (CKD) is a pathological process encompassing a broad spectrum of conditions that adversely affect renal function resulting in end-stage renal disease. With a current prevalence of 13 % of the US adult population, the incidence of CKD is expected to rise in the future. Thus the frequency of this problem, coupled with the centrality of the kidney to normal homeostasis, makes the management of impaired renal function a common and challenging problem in the perioperative setting. This chapter reviews the range of common renal problems that arise in this context.

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References

  1. Coresh J, Selvin E, Stevens LA, Manzi J, Kusek JW, Eggers P, Van Lente F, Levey AS. Prevalence of chronic kidney disease in the United States. JAMA. 2007;298(17):2038–47.

    Article  CAS  PubMed  Google Scholar 

  2. National Kidney Foundation. K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification. Am J Kidney Dis. 2002;39(2 Suppl 1):3–4.

    Google Scholar 

  3. Lee TH, Marcantonio ER, Mangione CM, Thomas EJ, Polanczyk CA, Cook EF, Sugarbaker DJ, Donaldson MC, Poss R, Ho KK, Ludwig LE, Pedan A, Goldman L. Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation. 1999;100(10):1043–9.

    Article  CAS  PubMed  Google Scholar 

  4. Lo LJ, Go AS, Chertow GM, McCulloch CE, Fan D, Ordonez JD, Hsu CY. Dialysis-requiring acute renal failure increases the risk of progressive chronic kidney disease. Kidney Int. 2009;76(8):893–9.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  5. Hsu CY, Chertow GM, McCulloch CE, Fan D, Ordonez JD, Go AS. Nonrecovery of kidney function and death after acute on chronic renal failure. Clin J Am Soc Nephrol. 2009;4(5):891–8.

    Article  PubMed Central  PubMed  Google Scholar 

  6. Lafrance JP, Miller DR. Acute kidney injury associates with increased long-term mortality. J Am Soc Nephrol. 2010;21(2):345–52.

    Article  PubMed Central  PubMed  Google Scholar 

  7. Novis BK, Roizen MF, Aronson S, Thisted RA. Association of preoperative risk factors with postoperative acute renal failure. Anesth Analg. 1994;78(1):143–9.

    Article  CAS  PubMed  Google Scholar 

  8. Kheterpal S, Temper KK, Englesbe MJ, O’Reilly M, Shanks AM, Fetterman DM, Rosenberg AL, Swartz RD. Predictors of postoperative acute renal failure after noncardiac surgery in patients with previously normal renal function. Anesthesiology. 2007;107(6):892–902.

    Article  PubMed  Google Scholar 

  9. Aveline C, Leroux A, Vautier P, Cognet F, Le Hetet H, Bonnet F. Risk factors for renal dysfunction after total Hip arthroplasty (French). Ann Fr Anesth Reanim. 2009;28(9):728–34.

    Article  CAS  PubMed  Google Scholar 

  10. Kellerman PS. Perioperative care of the renal patient. Arch Intern Med. 1994;154(15):1674–88.

    Article  CAS  PubMed  Google Scholar 

  11. Jafari SM, Huang R, Joshi A, Parvizi J, Hozack WJ. Renal impairment following total joint arthroplasty: who is at risk? J Arthroplasty. 2010;25 Suppl 6:49–53.

    Article  PubMed  Google Scholar 

  12. Bennet SJ, Berry OM, Goddard J, Keating JF. Acute renal dysfunction following hip fracture. Injury. 2010;41(4):335–8.

    Article  PubMed  Google Scholar 

  13. Abelha FJ, Botelho M, Fernandes V, Barros H. Determinants of postoperative acute kidney injury. Crit Care. 2009;13(3):R79.

    Article  PubMed Central  PubMed  Google Scholar 

  14. Josephs SA, Thakar CV. Perioperative risk assessment, prevention, and treatment of acute kidney injury. Int Anesthesiol Clin. 2009;47(4):89–105.

    Article  PubMed  Google Scholar 

  15. Levey AS, Bosch JP, Lewis JB, Greene T, Rogers N, Roth D. A more accurate method to estimate glomerular filtration rate from serum creatinine: a new prediction equation. Modification of diet in renal disease study group. Ann Intern Med. 1999;130(6):461–70.

    Article  CAS  PubMed  Google Scholar 

  16. Borthwick E, Ferguson A. Perioperative acute kidney injury: risk factors, recognition, management, and outcomes. BMJ. 2010;341:85–91.

    Article  Google Scholar 

  17. Coriat P, Richer C, Douraki T, Gomez C, Hendricks K, Giudicelli JF, Viars P. Influence of chronic angiotensin-converting enzyme inhibition on anesthetic induction. Anesthesiology. 1994;81(2):299–307.

    Article  CAS  PubMed  Google Scholar 

  18. Bertrand M, Godet G, Meersschaert K, Brun L, Salcedo E, Coriat P. Should the angiotensin II antagonists be discontinued before surgery? Anesth Analg. 2001;92(1):26–30.

    Article  CAS  PubMed  Google Scholar 

  19. Rosenman DJ, McDonald FS, Ebbert JO, Erwin PJ, LaBella M, Montori VM. Clinical consequences of withholding versus administering renin-angiotensin-aldosterone system antagonists in the perioperative period. J Hosp Med. 2008;3(4):319–25.

    Article  PubMed  Google Scholar 

  20. Kheterpal S, Khodaparast O, Shanks A, O’Reilly M, Tremper KK. Chronic angiotensin-converting enzyme inhibitor or angiotensin receptor blocker therapy combined with diuretic therapy is associated with increased episodes of hypotension in noncardiac surgery. J Cardiothorac Vasc Anesth. 2008;22(2):180–6.

    Article  CAS  PubMed  Google Scholar 

  21. Thakar CV, Kharat V, Blanck S, Leonard AC. Acute kidney injury after gastric bypass surgery. Clin J Am Soc Nephrol. 2007;2(3):426–30.

    Article  PubMed  Google Scholar 

  22. Whinney C. Perioperative medication management: general principles and practical applications. Cleve Clin J Med. 2009;76 Suppl 4:S126–32.

    Article  PubMed  Google Scholar 

  23. Palevsky PM. Perioperative management of patients with chronic kidney disease or ESRD. Best Pract Res Clin Anaesthesiol. 2004;18(1):129–44.

    Article  CAS  PubMed  Google Scholar 

  24. Ahmed J, Weisberg LS. Hyperkalemia in dialysis patients. Semin Dial. 2001;14(5):348–56.

    Article  CAS  PubMed  Google Scholar 

  25. Kohagura K, Tomiyama N, Kinjo K, Takishita S, Iskei K. Prevalence of anemia according to stage of chronic kidney disease in a large screening cohort of Japanese. Clin Exp Nephrol. 2009;13(6):614–20.

    Article  CAS  PubMed  Google Scholar 

  26. Voormolen N, Grootendorst DC, Urlings TA, Boeschoten EW, Sijpkens YW, Huisman RM, Krediet RT, Dekker FW. Prevalence of anemia and its impact on mortality and hospitalization rate in predialysis patients. Nephron. 2010;115(2):c133–41.

    CAS  PubMed  Google Scholar 

  27. Karkouti K, Wijeysundera DN, Beattie WS. Reducing Bleeding in Cardiac surgery (RBC) investigators. Risk associated with preoperative anemia in cardiac surgery: a multicenter cohort study. Circulation. 2008;117(4):478–84.

    Article  PubMed  Google Scholar 

  28. De Santo L, Romano G, Della Corte A, de Simone V, Grimaldi F, Cotrufo M, de Feo M. Preoperative anemia in patients undergoing coronary artery bypass surgery grafting predicts acute kidney injury. J Thorac Cardiovasc Surg. 2009;138(4):965–70.

    Article  PubMed  Google Scholar 

  29. Beattie WS, Karkouti K, Wijeysundera DN, Tait G. Risk associated with perioperative anemia in noncardiac surgery: a single-center cohort study. Anesthesiology. 2009;110(3):574–81.

    Article  PubMed  Google Scholar 

  30. Mantilla CB, Wass CT, Goodrich KA, Johanns CJ, Kool ML, Zhu X, Corredor JA, Warner DO, Joyner MJ, Berry DJ, Schroeder DR, Sprung J. Risk of perioperative myocardial infarction and mortality in patients undergoing hip or knee arthroplasty: the role of anemia. Transfusion. 2011;51(1):82–91.

    Article  PubMed  Google Scholar 

  31. Drueke TB, Locatelli F, Clyne N, Eckardt KU, Macdougall IC, Tsakiris D, Burger HU, Scherhag A. CREATE investigators. Normalization of hemoglobin level in patients with chronic kidney disease and anemia. N Engl J Med. 2006;355(20):2071–84.

    Article  CAS  PubMed  Google Scholar 

  32. Singh AK, Szczech L, Tang KL, Barnhart H, Sapp S, Wolfson M, Reddan D. CHOIR investigators. Correction of anemia with epoetin Alfa in chronic kidney disease. N Engl J Med. 2006;355(20):2085–98.

    Article  CAS  PubMed  Google Scholar 

  33. Pfeffer MA, Burdmann EA, Chen CY, Cooper ME, de Zeeuw D, Eckardt KU, Feyzi JM, Ivanovich P, Kewalramani R, Levey AS, Lewis EF, McGill JB, McMurray JJ, Parfrey P, Parving HH, Remuzzi G, Singh AK, Solomon SD, Toto R. TREAT investigators. A trial of darbepoetin alfa in type 2 diabetes and chronic kidney disease. N Engl J Med. 2009;361(21):2019–32.

    Article  PubMed  Google Scholar 

  34. KDOQI. KDOQI clinical practice guideline and clinical practice recommendations for anemia in chronic kidney disease: 2007 update of hemoglobin target. Am J Kidney Dis. 2007;50(3):471–530.

    Article  Google Scholar 

  35. Theusinger OM, Leyvraz PF, Schanz U, Seifert B, Spahn DR. Treatment of iron deficiency anemia in orthopedic surgery with intravenous iron: efficacy and limits—a prospective study. Anesthesiology. 2007;107(6):923–7.

    Article  CAS  PubMed  Google Scholar 

  36. Kumar A. Perioperative management of anemia: limits of blood transfusion and alternatives to it. Cleve Clin J Med. 2009;76 Suppl 4:S112–8.

    Article  PubMed  Google Scholar 

  37. Mannucci PM, Levi M. Prevention and treatment of major blood loss. N Engl J Med. 2007;356(22):2301–11.

    Article  CAS  PubMed  Google Scholar 

  38. Lee HK, Kim YJ, Jeong JU, Park JS, Chi HS, Kim SB. Desmopressin improves platelet dysfunction measured by in vitro closure time in uremic patients. Nephron. 2010;114(4):c248–52.

    CAS  PubMed  Google Scholar 

  39. Manno C, Bonifati C, Torres DD, Campobasso N, Schena FP. Desmopressin acetate in percutaneous ultrasound-guided kidney biopsy: a randomized controlled trial. Am J Kidney Dis. 2011;57(6):850–5.

    Article  CAS  PubMed  Google Scholar 

  40. Salzman EW, Weinstein MJ, Weintraub RM, Ware JA, Thurer RL, Robertson L, Donovan A, Gaffney T, Bertele V, Troll J, Smith M, Chute LE. Treatment with desmopressin acetate to reduce blood loss after cardiac surgery. A double blind randomized trial. N Engl J Med. 1986;314(22):1402–6.

    Article  CAS  PubMed  Google Scholar 

  41. Carless PA, Henry DA, Moxey AJ, O’Connell D, McClelland B, Henderson KM, Sly K, Laupacis A, Fergusson D. Desmopressin for minimising perioperative allogeneic blood transfusion. Cochrane Database Syst Rev. 2004;1:CDC001884.

    Google Scholar 

  42. Crescenzi G, Landoni G, Biondi-Zoccai G, Pappalardo F, Nuzzi M, Bignami E, Fochi O, Maj G, Calabro MG, Ranucci M, Zangrillo A. Desmopressin reduces transfusion needs after surgery: a meta-analysis of randomized controlled trials. Anesthesiology. 2008;109(6):1063–76.

    Article  CAS  PubMed  Google Scholar 

  43. Medicare Payment Advisory Commission (MEDPAC). A data book: healthcare spending and the medicare program. 2010; 199–205.

    Google Scholar 

  44. U S Renal Data System. USRDS 2008 annual data report: atlas of chronic kidney disease and end-stage renal disease in the United States, section I: patient survival. National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD; 2008.

    Google Scholar 

  45. Sakalkale DP, Hozack WJ, Rothman RH. Total hip arthroplasty in patients on long-term renal dialysis. J Arthroplasty. 1999;14(5):571–5.

    Article  CAS  PubMed  Google Scholar 

  46. Trainor D, Borthwick E, Ferguson A. Perioperative management of the hemodialysis patient. Semin Dial. 2011;24(3):314–26.

    Article  PubMed  Google Scholar 

  47. Drug interactions, search for “cyclosporine” and “warfarin”. http://www.thomsonhc.com/micromedex2/librarian. Accessed 28 Sep 2011.

  48. Bellomo R, Ronco C, Kellum JA, Mehta RL, Palevsky P. Acute dialysis quality initiative workgroup. Acute renal failure: definition, outcome measures, animal models, fluid therapy and information technology needs: the second international consensus conference of the Acute Dialysis Quality Initiative (ADQI) group. Crit Care. 2004;8(4):R204–12.

    Article  PubMed Central  PubMed  Google Scholar 

  49. Pavone V, Johnson T, Saulog PS, Sculco TP, Bottner F. Perioperative morbidity in bilateral one-stage total knee replacements. Clin Orthop Relat Res. 2004;421:155–61.

    Article  PubMed  Google Scholar 

  50. Thakar CV, Arrigain S, Worley S, Yared JP, Paganini EP. A clinical score to predict acute renal failure after cardiac surgery. J Am Soc Nephrol. 2005;16(1):162–8.

    Article  PubMed  Google Scholar 

  51. Wijeysundera DN, Karkouti K, Dupuis JY, Rao V, Chan CT, Granton JT, Beattie WS. Derivation and validation of a simplified predictive index for renal replacement therapy after cardiac surgery. JAMA. 2007;297(16):1801–9.

    Article  CAS  PubMed  Google Scholar 

  52. Kheterpal S, Tremper KK, Heung M, Rosenberg AL, Englesbe M, Shanks AM, Campbell Jr DA. Development and validation of an acute kidney injury risk index for patients undergoing general surgery: results from a national data set. Anesthesiology. 2009;110(3):505–15.

    Article  PubMed  Google Scholar 

  53. Slankamenac K, Breitenstein S, Held U, Beck-Schimmer B, Puhan MA, Clavien PA. Development and validation of a prediction score for postoperative acute renal failure following liver resection. Ann Surg. 2009;250(5):720–8.

    Article  PubMed  Google Scholar 

  54. Thadhani R, Pascual M, Bonventre JV. Acute renal failure. N Engl J Med. 1996;334(22):1448–60.

    Article  CAS  PubMed  Google Scholar 

  55. Lassnigg A, Donner E, Grubhofer G, Presterl E, Druml W, Hiesmayr M. Lack of renoprotective effects of dopamine and furosemide during cardiac surgery. J Am Soc Nephrol. 2000;11(1):97–104.

    CAS  PubMed  Google Scholar 

  56. Nigwekar SU, Kandula P. N-acetylcysteine in cardiovascular-surgery-associated renal failure: a meta-analysis. Ann Thorac Surg. 2009;87(1):139–47.

    Article  PubMed  Google Scholar 

  57. Endre ZH, Walker RJ, Pickering JW, Shaw GM, Frampton CM, Henderson SJ, Hutchison R, Mehrtens JE, Robinson JM, Schollum JB, Westhuyzen J, Celi LA, McGinley RJ, Campbell IJ, George PM. Early intervention with erythropoietin does not affect the outcome of acute kidney injury (the EARLYARF trial). Kidney Int. 2010;77(11):1020–30.

    Article  CAS  PubMed  Google Scholar 

  58. Landoni G, Biondi-Zoccai GG, Marino G, Bove T, Fochi O, Maj G, Calabro MG, Sheiban I, Tumlin JA, Ranucci M, Zangrillo A. Fenoldopam reduces the need for renal replacement therapy and in-hospital death in cardiovascular surgery: a meta-analysis. J Cardiothorac Vasc Anesth. 2008;22(1):27–33.

    Article  CAS  PubMed  Google Scholar 

  59. Nigwekar SU, Hix JK. The role of natriuretic peptide administration in cardiovascular surgery-associated renal dysfunction: a systematic review and meta-analysis of randomized controlled trials. J Cardiothorac Vasc Anesth. 2009;23(2):151–60.

    Article  CAS  PubMed  Google Scholar 

  60. Waikar SS, Liu KD, Chertow GM. Diagnosis, epidemiology, and outcomes of acute kidney injury. Clin J Am Soc Nephrol. 2008;3(3):844–61.

    Article  PubMed  Google Scholar 

  61. Upadhyay A, Jaber BL, Madias NE. Incidence and prevalence of hyponatremia. Am J Med. 2006;119(7 Suppl 1):S30–5.

    Article  CAS  PubMed  Google Scholar 

  62. Gluck GS, Lachiewicz PF. Symptomatic hyponatremia in patients undergoing total hip and knee arthroplasty. A report of three cases. J Bone Joint Surg Am. 2008;90(3):634–6.

    Article  PubMed  Google Scholar 

  63. Gardner LB, Preston RA. University of Miami division of clinical pharmacology therapeutic rounds: the water-intolerant patient and perioperative hyponatremia. Am J Ther. 2000;7(1):23–30.

    Article  CAS  PubMed  Google Scholar 

  64. Medications that can cause hyponatremia, search for “hyponatremia”. http://www.thomsonhc.com/micromedex2/librarian. Accessed 26 Sep 2011.

  65. Liamis G, Milionis H, Elisaf M. A review of drug-induced hyponatremia. Am J Kidney Dis. 2008;52(1):144–53.

    Article  CAS  PubMed  Google Scholar 

  66. Chow KM, Szeto CC, Wong TY, Leung CB, Li PK. Risk factors for thiazide-induced hyponatremia. QJM. 2003;96(12):911–7.

    Article  CAS  PubMed  Google Scholar 

  67. Sterns RH, Hix JK, Silver S. Treatment of hyponatremia. Curr Opin Nephrol Hypertens. 2010;19(5):493–8.

    Article  PubMed  Google Scholar 

  68. Androgue HJ, Madias NE. Hyponatremia. N Engl J Med. 2000;342(21):1581–9.

    Article  Google Scholar 

  69. Medications that can cause hyperkalemia, search for “hyperkalemia”. http://www.thomsonhc.com/micromedex2/librarian. Accessed 26 Sep 2011.

  70. Sterns RH, Rojas M, Bernstein P, Chennupati S. Ion-exchange resins for the treatment of hyperkalemia: are they safe and effective? J Am Soc Nephrol. 2010;21(5):733–5.

    Article  CAS  PubMed  Google Scholar 

  71. Watson M, Abbott KC, Yuan CM. Damned if you do, damned if you don’t: potassium binding resins in hyperkalemia. Clin J Am Soc Nephrol. 2010;5(10):1723–6.

    Article  CAS  PubMed  Google Scholar 

  72. Olyaei AJ, Roberta G. Drug dosing in chronic kidney disease. In: Daugirdas JT, editor. Handbook of chronic kidney disease management. 1st ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2011. p. 376–431.

    Google Scholar 

  73. Manjunath V, Perazella MA. Imaging patients with kidney disease in the era of NSF: can it be done safely? Clin Nephrol. 2011;75(4):279–85.

    Article  CAS  PubMed  Google Scholar 

  74. Perazella MA, Reilly RF. Imaging patients with kidney disease: how do we approach contrast-related toxicity? Am J Med Sci. 2011;341(3):215–21.

    Article  PubMed  Google Scholar 

  75. Kagan A, Sheikh-Hamad D. Contrast-induced kidney injury: focus on modifiable risk factors and prophylactic strategies. Clin Cardiol. 2010;33(2):62–6.

    Article  PubMed  Google Scholar 

  76. Thomsen HS. Imaging patients with chronic kidney disease: CIN or NSF? Radiol Med. 2007;112(5):621–5.

    Article  CAS  PubMed  Google Scholar 

  77. Barrett BJ, Parfrey PS. Preventing nephropathy induced by contrast medium. N Engl J Med. 2006;354(4):379–86.

    Article  CAS  PubMed  Google Scholar 

  78. Gurm HS, Dixon SR, Smith DE, Share D, Lalonde T, Greenbaum A, Moscucci M. BMC2 (blue cross blue shield of Michigan cardiovascular consortium) registry. J Am Coll Cardiol. 2011;58(9):907–14.

    Article  PubMed  Google Scholar 

  79. Briguori C, Airoldi F, D’Andrea D, Bonizzoni E, Morici N, Focaccio A, Michev I, Montofano M, Carlino M, Cosgrave J, Ricciardelli B, Colombo A. Renal insufficiency following contrast media administration trial (REMEDIAL): a randomized comparison of 3 preventive strategies. Circulation. 2007;115(10):1211–7.

    CAS  PubMed  Google Scholar 

  80. Briguori C, Visconti G, Focaccio A, Airoldi F, Valgimigli M, Sangiorgi GM, Golia B, Ricciardelli B, Condorelli G, REMEDIAL II Investigators. Renal insufficiency after contrast media administration trial II (REMEDIAL II): RenalGuard system in high-risk patients for contrast-induced acute kidney injury. Circulation. 2011;124:1260–9.

    Article  CAS  PubMed  Google Scholar 

  81. Briguori C, Colombo A, Violante A, Balestrieri P, Manganelli F, Paolo Elia P, Golia B, Lepore S, Riviezzo G, Scarpato P, Focaccio A, Librera M, Bonizzoni E, Ricciardelli B. Standard vs. double dose of N-acetylcysteine to prevent contrast agent associated nephrotoxicity. Eur Heart J. 2004;25(3):206–11.

    Article  CAS  PubMed  Google Scholar 

  82. Perazella MA. Advanced kidney disease, gadolinium and nephrogenic systemic fibrosis: the perfect storm. Curr Opin Nephrol Hypertens. 2009;18(6):519–25.

    Article  PubMed  Google Scholar 

  83. Kurella M, Bennett WM, Chertow GM. Analgesia in patients with ESRD: a review of available evidence. Am J Kidney Dis. 2003;42(2):217–28.

    Article  CAS  PubMed  Google Scholar 

  84. Dean M. Opioids in renal failure and dialysis patients. J Pain Symptom Manage. 2004;28(5):497–504.

    Article  CAS  PubMed  Google Scholar 

  85. Bailie GR, Mason NA. 2011 Dialysis of drugs. 2011th ed. Saline, MI: Renal Pharmacy Consultants, LLC; 2011.

    Google Scholar 

  86. Weil AB. Anesthesia for patients with renal/hepatic disease. Top Companion Anim Med. 2010;25(2):87–91.

    Article  PubMed  Google Scholar 

  87. Vaziri ND, Kayichian D. Serum enzyme levels. In: Daugirdas JT, Blake PG, Ing TS, editors. Handbook of dialysis. 4th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2007. p. 482–9.

    Google Scholar 

  88. Krishnan M. Preoperative care of patients with kidney disease. Am Fam Physician. 2002;66(8):1471–6.

    PubMed  Google Scholar 

  89. Bender FH, Bernardini J, Piraino B. Prevention of infectious complications in peritoneal dialysis: best demonstrated practices. Kidney Int Suppl. 2006;103:S44–54.

    Article  PubMed  Google Scholar 

  90. Markowitz GS, Perazella MA. Acute phosphate nephropathy. Kidney Int. 2009;76(10):1027–34.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Weill Cornell Medical College, New York Hospital, 505 E70th Street, HT-140, New York, NY, 10021, USA

    James M. Chevalier

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  1. James M. Chevalier
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Editors and Affiliations

  1. Department of Medicine, Hospital for Special Surgery, New York, New York, USA

    C. Ronald MacKenzie

  2. Department of Orthopedic Surgery, Hospital for Special Surgery, New York, New York, USA

    Charles N. Cornell

  3. Department of Anesthesiology, Hospital for Special Surgery, New York, New York, USA

    Stavros G. Memtsoudis

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Chevalier, J.M. (2014). Perioperative Care of the Orthopedic Patient with Renal Disease. In: MacKenzie, C., Cornell, C., Memtsoudis, S. (eds) Perioperative Care of the Orthopedic Patient. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0100-1_13

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