Perioperative Kidney Injury - Principles of Risk Assessment, Diagnosis and Treatment

The kidneys participate in all vital processes of the body to maintain overall homeostasis and health. When kidneys are injured during surgical interventions, metabolic and hemodynamic control is disrupted, leading to dysfunction associated with greater mortality, length of hospital stay and cost.

Peri-operative Kidney Injury presents the epidemiology, risk factors, diagnosis, treatment and outcomes associated with kidney injury during the peri-operative period. Concepts and principles of care to prevent kidney complications during surgical procedures are provided to equip health care professionals along with strategies to manage acute kidney injury and associated challenges when they occur. Chapters detail diverse surgical settings, ranging from the more common, such as abdominal, cardiac and vascular surgeries, to the intricately complex, including the use of the left ventricular assist device and organ transplants. This practical and comprehensive text blends theevidence-based standards of care with cutting edge advances in the field, while also providing the reader with a peek into innovations on the horizon.

List of contents

Part I Peri-operative AKI: Overview and Approach.- 1 Incidence, Trends and Diagnosis of Peri-operative AKI.- 2 Serious peri-operative complications: Hospital Medicine Perspectives.- 3 Role of Novel Kidney Injury Biomarkers in Perioperative AKI.- 4 Clinical Pearls: Renal Replacement Therapy for AKI in the Post-operative Period.- 5 Clinical Pearls: Non-dialytic Management of Kidney Complications in the Post-operative Period.- 6 Intra-Operative Considerations to Prevent Post-Operative AKI.- Part II Cardiac and Vascular Surgery.- 7 AKI after Cardiac Surgery in Adults.- 8 AKI after Cardiovascular Surgery in Children.- 9 AKI in the Era of Ventricular Assist Devices.- 10 Kidney Injury after Vascular Surgery.- Part III Abdominal and Urologic Surgery.- 11 AKI after Major Abdominal Surgery.- 12 Kidney Injury in Abdominal Compartment Syndrome.- 13 Kidney Function and Injury after Nephrectomy for Kidney Cancer.- Part IV Transplant Surgery.- 14 The Kidney in Non-Renal Solid Organ Transplantation.- 15 Acute Allograft Injury After Kidney Transplantation.- Part V Special Topics in Peri-operative AKI.- 16 Trauma and Acute Kidney Injury.- 17 Fluid-Electrolyte Imbalances and Extra-Corporeal Therapy in the Neurosurgical Setting.- 18 Nutrition in Peri-operative Patients with Kidney Failure.

About the author

Charuhas V. Thakar, MD, FASN, Chief, Renal Section, Cincinnati VA Healthcare System Associate Professor of Medicine University of Cincinnati OH 45242
 
Chirag R. Parikh, MD, PhD, FASN, Associate Professor of Medicine, Director, Program of Applied Translational Research, Yale University School of Medicine, New Haven, CT 06519
 

Summary

The kidneys participate in all vital processes of the body to maintain overall homeostasis and health. When kidneys are injured during surgical interventions, metabolic and hemodynamic control is disrupted, leading to dysfunction associated with greater mortality, length of hospital stay and cost.
Peri-operative Kidney Injury presents the epidemiology, risk factors, diagnosis, treatment and outcomes associated with kidney injury during the peri-operative period. Concepts and principles of care to prevent kidney complications during surgical procedures are provided to equip health care professionals along with strategies to manage acute kidney injury and associated challenges when they occur. Chapters detail diverse surgical settings, ranging from the more common, such as abdominal, cardiac and vascular surgeries, to the intricately complex, including the use of the left ventricular assist device and organ transplants. This practical and comprehensive text blends theevidence-based standards of care with cutting edge advances in the field, while also providing the reader with a peek into innovations on the horizon.

Additional text

“Surgery residents, fellows, and surgeons at all stages of their careers will benefit from this book. In fact, anyone caring for surgical patients, including anesthesiologists, internists, nurse practitioners, and physician assistants, will find value in this book. … It provides an easy to read review of kidney injury in surgical patients. There is no other resource that I’m aware of that presents this much information in one easy-to-understand book.” (Luis J. Garcia, Doody’s Book Reviews, February, 2015)

“This textbook is
effectively organized, well referenced, and offers an excellent means for any
clinician to improve their clinical practice. Indeed, not one topic was missed
or incompletely covered, and the evidence provided was thorough and up to date.
I would recommend this book to any intensivist, perioperative physician, or
surgeon.” (Kelly Kohorst, Canadian Journal of Anesthesia, Journal canadien
d'anesthésie, Vol. 62 (11), 2015)

Report

"Surgery residents, fellows, and surgeons at all stages of their careers will benefit from this book. In fact, anyone caring for surgical patients, including anesthesiologists, internists, nurse practitioners, and physician assistants, will find value in this book. ... It provides an easy to read review of kidney injury in surgical patients. There is no other resource that I'm aware of that presents this much information in one easy-to-understand book." (Luis J. Garcia, Doody's Book Reviews, February, 2015)

"This textbook is effectively organized, well referenced, and offers an excellent means for any clinician to improve their clinical practice. Indeed, not one topic was missed or incompletely covered, and the evidence provided was thorough and up to date. I would recommend this book to any intensivist, perioperative physician, or surgeon." (Kelly Kohorst, Canadian Journal of Anesthesia, Journal canadien d'anesthésie, Vol. 62 (11), 2015)

Product details

• Assisted by: Chirag R. Parikh (Editor), R Parikh (Editor), R Parikh (Editor), Charuhas V. Thakar (Editor), Charuha V Thakar (Editor), Charuhas V Thakar (Editor)
• Publisher: Springer, Berlin
• Languages: English
• Product format: Hardback
• Released: 30.11.2014
• EAN: 9781493912728
• ISBN: 978-1-4939-1272-8
• No. of pages: 251
• Dimensions: 163 mm x 13 mm x 243 mm
• Weight: 569 g
• Illustrations: XVII, 251 p. 21 illus., 15 illus. in color.
• Subjects: Natural sciences, medicine, IT, technology > Medicine > Non-clinical medicine; B, Medicine, Surgery, INTERNAL MEDICINE, Nephrology, critical care medicine, Anesthesiology, Intensive / Critical Care Medicine, Intensive Care Medicine, Anaesthetics