Preserving Renal Function in Surgical Patients

Postoperative acute renal failure, especially associated with oliguria, carries a high rate of mortality and morbidity. This complication can frequently be avoided if physicians are knowledgeable about preventable or modifiable risk factors. Patients who have underlying renal disease, sepsis, volume...

Full description

Saved in:
Bibliographic Details
Published in:The Western journal of medicine 1987-03, Vol.146 (3), p.316-321
Main Authors: Whiteside-Yim, Connie, Fitzgerald, Faith T.
Format: Article
Language:English
Subjects:
Acute Kidney Injury - prevention & control
Clinical Medicine
Humans
Postoperative Complications - prevention & control
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites
container_end_page 321
container_issue 3
container_start_page 316
container_title The Western journal of medicine
container_volume 146
creator Whiteside-Yim, Connie
Fitzgerald, Faith T.
description Postoperative acute renal failure, especially associated with oliguria, carries a high rate of mortality and morbidity. This complication can frequently be avoided if physicians are knowledgeable about preventable or modifiable risk factors. Patients who have underlying renal disease, sepsis, volume depletion or other conditions associated with renal hypoperfusion, or who have severe liver disease, are at particular risk. Exposure to nephrotoxic agents and wide fluctuations of intravascular volume are key conditions that can usually be minimized. Managing patients with chronic advanced renal failure (creatinine clearance 10 to 25 ml per minute) requires close interaction between the internists, anesthesiologists and surgeons. Understanding associated metabolic and organ system disorders is necessary to prevent complications and preserve remaining renal function. Chronic renal failure should not be a contraindication to an elective or emergent surgical procedure.
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1307277</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3994567731</sourcerecordid><originalsourceid>FETCH-LOGICAL-i327t-647a2719293be8406f5e0277d3dbfa948fdbba2f07098b49d06ac41c789c66103</originalsourceid><addsrcrecordid>eNpVkE1Lw0AQQBdRaq3-BCHgOTL7kUz2ImixKlQtVnvwsmySTd3abupuUvTfG7QUPQ3Mg_eY2SN9KjCNmcRsn_QBJI9B0OSQHIWwAACRUNkjPZ4gUsb65HziTTB-Y908ejJOL6NR64rG1i6yLpq2fm6LbjnRjTWuCcfkoNLLYE62c0BeRtfPw9t4_HhzN7wcx5YzbOJUoGZIJZM8N5mAtEoMMMSSl3mlpciqMs81qwBBZrmQJaS6ELTATBZpSoEPyMWvd93mK1MWXdvrpVp7u9L-S9Xaqv_E2Tc1rzeKcsAu1AnOtgJff7QmNGpRt767LyiKmDDG-E_m9G9m59--p-PxL7ehMZ87rP27SpFjoh5mQwVsdvU6vR-rKf8GqzlwoA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1775222310</pqid></control><display><type>article</type><title>Preserving Renal Function in Surgical Patients</title><source>PubMed Central</source><creator>Whiteside-Yim, Connie ; Fitzgerald, Faith T.</creator><creatorcontrib>Whiteside-Yim, Connie ; Fitzgerald, Faith T.</creatorcontrib><description>Postoperative acute renal failure, especially associated with oliguria, carries a high rate of mortality and morbidity. This complication can frequently be avoided if physicians are knowledgeable about preventable or modifiable risk factors. Patients who have underlying renal disease, sepsis, volume depletion or other conditions associated with renal hypoperfusion, or who have severe liver disease, are at particular risk. Exposure to nephrotoxic agents and wide fluctuations of intravascular volume are key conditions that can usually be minimized. Managing patients with chronic advanced renal failure (creatinine clearance 10 to 25 ml per minute) requires close interaction between the internists, anesthesiologists and surgeons. Understanding associated metabolic and organ system disorders is necessary to prevent complications and preserve remaining renal function. Chronic renal failure should not be a contraindication to an elective or emergent surgical procedure.</description><identifier>ISSN: 0093-0415</identifier><identifier>EISSN: 1476-2978</identifier><identifier>PMID: 3577122</identifier><identifier>CODEN: WJMDA2</identifier><language>eng</language><publisher>United States: BMJ Publishing Group LTD</publisher><subject>Acute Kidney Injury - prevention &amp; control ; Clinical Medicine ; Humans ; Postoperative Complications - prevention &amp; control</subject><ispartof>The Western journal of medicine, 1987-03, Vol.146 (3), p.316-321</ispartof><rights>Copyright BMJ Publishing Group LTD Mar 1987</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1307277/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1307277/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,724,777,781,882,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/3577122$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Whiteside-Yim, Connie</creatorcontrib><creatorcontrib>Fitzgerald, Faith T.</creatorcontrib><title>Preserving Renal Function in Surgical Patients</title><title>The Western journal of medicine</title><addtitle>West J Med</addtitle><description>Postoperative acute renal failure, especially associated with oliguria, carries a high rate of mortality and morbidity. This complication can frequently be avoided if physicians are knowledgeable about preventable or modifiable risk factors. Patients who have underlying renal disease, sepsis, volume depletion or other conditions associated with renal hypoperfusion, or who have severe liver disease, are at particular risk. Exposure to nephrotoxic agents and wide fluctuations of intravascular volume are key conditions that can usually be minimized. Managing patients with chronic advanced renal failure (creatinine clearance 10 to 25 ml per minute) requires close interaction between the internists, anesthesiologists and surgeons. Understanding associated metabolic and organ system disorders is necessary to prevent complications and preserve remaining renal function. Chronic renal failure should not be a contraindication to an elective or emergent surgical procedure.</description><subject>Acute Kidney Injury - prevention &amp; control</subject><subject>Clinical Medicine</subject><subject>Humans</subject><subject>Postoperative Complications - prevention &amp; control</subject><issn>0093-0415</issn><issn>1476-2978</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1987</creationdate><recordtype>article</recordtype><recordid>eNpVkE1Lw0AQQBdRaq3-BCHgOTL7kUz2ImixKlQtVnvwsmySTd3abupuUvTfG7QUPQ3Mg_eY2SN9KjCNmcRsn_QBJI9B0OSQHIWwAACRUNkjPZ4gUsb65HziTTB-Y908ejJOL6NR64rG1i6yLpq2fm6LbjnRjTWuCcfkoNLLYE62c0BeRtfPw9t4_HhzN7wcx5YzbOJUoGZIJZM8N5mAtEoMMMSSl3mlpciqMs81qwBBZrmQJaS6ELTATBZpSoEPyMWvd93mK1MWXdvrpVp7u9L-S9Xaqv_E2Tc1rzeKcsAu1AnOtgJff7QmNGpRt767LyiKmDDG-E_m9G9m59--p-PxL7ehMZ87rP27SpFjoh5mQwVsdvU6vR-rKf8GqzlwoA</recordid><startdate>19870301</startdate><enddate>19870301</enddate><creator>Whiteside-Yim, Connie</creator><creator>Fitzgerald, Faith T.</creator><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>5PM</scope></search><sort><creationdate>19870301</creationdate><title>Preserving Renal Function in Surgical Patients</title><author>Whiteside-Yim, Connie ; Fitzgerald, Faith T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-i327t-647a2719293be8406f5e0277d3dbfa948fdbba2f07098b49d06ac41c789c66103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1987</creationdate><topic>Acute Kidney Injury - prevention &amp; control</topic><topic>Clinical Medicine</topic><topic>Humans</topic><topic>Postoperative Complications - prevention &amp; control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Whiteside-Yim, Connie</creatorcontrib><creatorcontrib>Fitzgerald, Faith T.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>ProQuest Science Journals</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Western journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Whiteside-Yim, Connie</au><au>Fitzgerald, Faith T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preserving Renal Function in Surgical Patients</atitle><jtitle>The Western journal of medicine</jtitle><addtitle>West J Med</addtitle><date>1987-03-01</date><risdate>1987</risdate><volume>146</volume><issue>3</issue><spage>316</spage><epage>321</epage><pages>316-321</pages><issn>0093-0415</issn><eissn>1476-2978</eissn><coden>WJMDA2</coden><abstract>Postoperative acute renal failure, especially associated with oliguria, carries a high rate of mortality and morbidity. This complication can frequently be avoided if physicians are knowledgeable about preventable or modifiable risk factors. Patients who have underlying renal disease, sepsis, volume depletion or other conditions associated with renal hypoperfusion, or who have severe liver disease, are at particular risk. Exposure to nephrotoxic agents and wide fluctuations of intravascular volume are key conditions that can usually be minimized. Managing patients with chronic advanced renal failure (creatinine clearance 10 to 25 ml per minute) requires close interaction between the internists, anesthesiologists and surgeons. Understanding associated metabolic and organ system disorders is necessary to prevent complications and preserve remaining renal function. Chronic renal failure should not be a contraindication to an elective or emergent surgical procedure.</abstract><cop>United States</cop><pub>BMJ Publishing Group LTD</pub><pmid>3577122</pmid><tpages>6</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0093-0415
ispartof The Western journal of medicine, 1987-03, Vol.146 (3), p.316-321
issn 0093-0415
1476-2978
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1307277
source PubMed Central
subjects Acute Kidney Injury - prevention & control
Clinical Medicine
Humans
Postoperative Complications - prevention & control
title Preserving Renal Function in Surgical Patients
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-19T17%3A10%3A42IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Preserving%20Renal%20Function%20in%20Surgical%20Patients&rft.jtitle=The%20Western%20journal%20of%20medicine&rft.au=Whiteside-Yim,%20Connie&rft.date=1987-03-01&rft.volume=146&rft.issue=3&rft.spage=316&rft.epage=321&rft.pages=316-321&rft.issn=0093-0415&rft.eissn=1476-2978&rft.coden=WJMDA2&rft_id=info:doi/&rft_dat=%3Cproquest_pubme%3E3994567731%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-i327t-647a2719293be8406f5e0277d3dbfa948fdbba2f07098b49d06ac41c789c66103%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1775222310&rft_id=info:pmid/3577122&rfr_iscdi=true