Accepting a Chronic Kidney Disease Patient for Perioperative Management: A Narrative Review of Key Aspects

Anaesthesia, Pain and Intensive Care 2018; 22 (suppl 1): S29 - S38.

10 Pages Posted: 8 Jul 2019

See all articles by Habib Md Reazaul Karim

Habib Md Reazaul Karim

All India Institute of Medical Sciences, Raipur

Chinmaya Kumar Panda

All India Institute of Medical Sciences

Subrata Kumar Singha

All India Institute of Medical Sciences

Date Written: October 5, 2018

Abstract

Chronic kidney disease is one of the leading co-morbidity at present. With the increasing prevalence of diabetes mellitus and hypertension, more and more peoples are developing diabetic and hypertensive nephropathy. As chronic kidney disease patient can present as an asymptomatic stable patient in one end and a multi-organ involved complicated end-stage disease in other ends, their management plan also varies. The serum creatinine levels of as low as 1.5 mg% have been linked to perioperative major cardiac events like myocardial infarction and arrest; these patients poses a challenge to the perioperative team. Moreover, a chance of developing acute kidney injury on chronic kidney disease is also higher. These patients are also often elderly, with diabetes mellitus and/or hypertension. Therefore, accepting such patient for perioperative care needs systematic and meticulous approach. Preoperative assessment, risk stratification, and optimization play a great role. Both intraoperative and postoperative management needs a tailored approach. The present narrative review is prepared to give the current insight into these aspects.

Keywords: Chronic Kidney Disease, Preoperative Assessment, Risk Stratification, Hemodialysis, Anesthesia, Intensive Care Unit

Suggested Citation

Karim, Habib Md Reazaul and Panda, Chinmaya Kumar and Singha, Subrata Kumar, Accepting a Chronic Kidney Disease Patient for Perioperative Management: A Narrative Review of Key Aspects (October 5, 2018). Anaesthesia, Pain and Intensive Care 2018; 22 (suppl 1): S29 - S38.. Available at SSRN: https://ssrn.com/abstract=3414776

Habib Md Reazaul Karim (Contact Author)

All India Institute of Medical Sciences, Raipur ( email )

Great Eastern Road
Tatibandh
Raipur, CHHATTISGARH 492099
India
9612372585 (Phone)

Chinmaya Kumar Panda

All India Institute of Medical Sciences

Rishikesh
India

Subrata Kumar Singha

All India Institute of Medical Sciences

Rishikesh
India

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