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Perioperative Hemodynamic Optimization to Reduce Acute Kidney Injury and Mortality in Surgical Patients

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Reducing Mortality in Acute Kidney Injury

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Abstract

Acute kidney injury is a serious complication in surgical and critical care patients and carries an increased risk of mortality and additional hospital costs. Hemodynamic optimization to reduce mortality in critically ill patients with or at risk for AKI is supported by high-level evidence. However, several points of debate are still open, including the type of fluid to be used to reach the hemodynamic targets, the inotropic support, the choice of the monitoring tool, as well as of the hemodynamic variables to be targeted, and which subgroup of the high-risk surgical population could benefit most from a goal-directed therapy approach.

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Author information

Authors and Affiliations

  1. Anesthesia and Intensive Care Unit, Department of Emergency and Organ Transplantation, University of Bari, Piazza G. Cesare, 11, Bari, 70100, Italy

    Nicola Brienza MD, PhD & Mariateresa Giglio MD

  2. Intensive Care And Anesthesia Division, Azienda Ospedaliera ASL Taranto, Polo Occidentale, Italy

    Argentina Rosanna Saracco MD

Authors
  1. Nicola Brienza MD, PhD
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  2. Mariateresa Giglio MD
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  3. Argentina Rosanna Saracco MD
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Corresponding author

Correspondence to Nicola Brienza MD, PhD .

Editor information

Editors and Affiliations

  1. Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute and Vita-Salute San Raffaele University, Milan, Italy

    Giovanni Landoni

  2. Cardiac Anesthesia & ICU, AORN Dei Colli, Monaldi Hospital Cardiac Anesthesia & ICU, Naples, Italy

    Antonio Pisano

  3. IRCCS San Raffaele Scientific Institute, Dept of Anesthesia & Intensive care, Milano, Milano, Italy

    Alberto Zangrillo

  4. Austin Hospital, Heidelberg, Victoria, Australia

    Rinaldo Bellomo

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Brienza, N., Giglio, M., Saracco, A.R. (2016). Perioperative Hemodynamic Optimization to Reduce Acute Kidney Injury and Mortality in Surgical Patients. In: Landoni, G., Pisano, A., Zangrillo, A., Bellomo, R. (eds) Reducing Mortality in Acute Kidney Injury. Springer, Cham. https://doi.org/10.1007/978-3-319-33429-5_10

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  • DOI: https://doi.org/10.1007/978-3-319-33429-5_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-33427-1

  • Online ISBN: 978-3-319-33429-5

  • eBook Packages: MedicineMedicine (R0)

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