Perioperative Acute Kidney Injury: Diagnosis And Management
Perioperative Acute Kidney Injury: Diagnosis And Management is organized by Society of Hospital Medicine (SHM).
Course opens: 09/01/2021
Course expires: 09/01/2024
Target Audience: This activity is designed for hospitalists. No prerequisites required.
Overview:
Acute kidney injury (AKI) is an important complication following cardiac and noncardiac surgery. Up to 18% of hospitalized patients develop AKI, and those who are critically ill have an even higher risk. Comparatively, the incidence of AKI in the perioperative period is 18-47%.1 Patients with even modest increases in their serum creatinine have increases in their mortality, morbidity, length of stay, and hospital costs. Perioperative AKI is associated with an increased risk of sepsis, anemia, coagulopathy, and mechanical ventilation. Notably, mortality is higher in patients with perioperative AKI even after complete renal recovery.1 Perioperative AKI correlates with type of surgical procedure, patient characteristics, volume status, hemodynamics, and exposure to nephrotoxins. Presurgical risk stratification and early risk mitigation is extremely important to avoid injury and need for renal replacement therapy (RRT). The following module defines perioperative AKI, identifies specific risk factors and tools for risk stratification, provides an overview of the workup of perioperative AKI, and evaluates various renal protective strategies that can be implemented during this high-risk period.
Learning Objectives:
After completing the module, the participant will demonstrate the ability to:
• Describe the definitions and epidemiology of perioperative AKI
• Detail the risk factors for development of perioperative AKI
• Utilize an evidence-based approach to diagnose the etiology of perioperative AKI
• Analyze the current evidence for medical AKI risk reduction therapies
Goal:
To provide hospitalists with current management strategies regarding the prevention, identification, and treatment of patients with perioperative AKI.