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PREOPERATÎF RENAL RÎSK DEĞERLENDİRMESİ

PREOPERATIVE RENAL RISK STRATIFICATION

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 2003

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Patients undergoing major surgical operations are under risk of developing acute renal failure postoperatively. Risk factors for developing postoperative renal failure may be classified as: patient risk factors and surgical risk factors. Patient risk is directly related to preoperative renal function and advanced age. Surgical risk is highest in patients who underwent any surgery with important haemodynamic variations. The cumulative renal injuries from various life events such as nephrotoxic drugs or perioperative renal insult may ultimately lead to irreversible renal injuries or mortality associated with postoperative renal failure. For this reason; preoperative risk stratification and management of patients should be planned carefully, especially before major surgeries; in order to avoid postoperative mortality and morbidity due to acute renalfailure.
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Abstract (Original Language): 
Majör cerrahi operasyon geçiren hastalar postoperatif akut böbrek yetmezliği gelişme riski taşımaktadır. Postoperatif akut böbrek yetmezliği için risk faktörleri, hastaya ve cerrahiye ait risk faktörleri olarak sınıflandırılmaktadır. Hastaya ait faktörler; ileri yaş ve preoperatif renal disfonksiyon olarak gösterilmiş iken, cerrahi işleme bağlı faktörler; intraoperatif önemli hemodinamik değişikliklerin olması olarak rapor edilmiştir. Nefrotoksik ilaçlar veya perioperatif renal iskemi gibi faktörlerin yol açtığı minör renal hasarların birbirine eklenmesi, geri dönüşümsiiz renal yetmezliğe ya da postoperatif renal yetmezliğe bağlı mortalitede artışa neden olmaktadır. Bu nedenle özellikle majör cerrahi girişimlerden önce postoperatif akut böbrek yetmezliğine bağlı mortalite ve morbiditeyi önlemek amacıyla, preoperatif renal risk belirlemesinin yapılması ve yakın hasta takibi çok iyi planlanmalıdır.
FULL TEXT (PDF): 
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  • 2
84-87
  • Turkish

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