Pre-anesthesia evaluation in patients with chronic renal disease (emphasis on cardiovascular risk)

Chronic renal disease is a public health problem worldwide. Several times these patients will undergo surgical procedures related to dialysis or surgeries related to their co-morbidities. The purpose of the pre-anesthesia evaluation is to assess the risk of cardiovascular events and initiate interve...

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Detalles Bibliográficos
Autores: González Cárdenas, Víctor Hugo, Vargas, Juan Guillermo, Echeverri, Jorge Enrique, Díaz, Sandra M., Mena Méndez, Yonny
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2013
País:Colombia
Institución:Fundación Universitaria de Ciencias de la Salud - FUCS
Repositorio:Repositorio Digital Institucional ReDi
Idioma:inglés
OAI Identifier:oai:repositorio.fucsalud.edu.co:001/1445
Acceso en línea:https://repositorio.fucsalud.edu.co/handle/001/1445
Access Level:acceso abierto
Palabra clave:Renal Insufficiency
Mortality
Anesthesia
Perioperative Period
Chronic
Kidney Failure Chronic
Insuficiencia renal crónica
Fallo renal crónico
Periodo perioperatorio
Descripción
Sumario:Chronic renal disease is a public health problem worldwide. Several times these patients will undergo surgical procedures related to dialysis or surgeries related to their co-morbidities. The purpose of the pre-anesthesia evaluation is to assess the risk of cardiovascular events and initiate interventions that may influence morbidity and mortality. This article describes the relevant epidemiological data of chronic kidney disease and its cardiovascular risk and provides a guide on clinical assessment, diagnostic tools and strategies to reduce surgical risk. This narrative literature review is based on articles written in both English and Spanish limited to the last 10 years, information from basic textbooks and primary databases (i.e., PUBMED - EMBASE - LILACS), supported by articles referenced in the above-mentioned search.