Anesthesia & Clinical Research
Open Access
ISSN: 2155-6148
+44 1223 790975
ISSN: 2155-6148
+44 1223 790975
Research Article
Comparison of Accuracy of Different Methods for Detection of Postoperative Renal Impairment in Colorectal Surgery with Restrictive Fluid Strategy
Author(s): Khaled Abdelbaky Abdelrahman, Essam Sharkawy Abdel-Allah, Jehan Ahmed Sayed, Nagwa Mostafa Ibrahiem Osman, Mohamed Fathy Mostafa, Mohamed Ismail Seddiek, Yara Hamdy Abbas, Mohamed Elsayed Mahmoud, Omar Makram Mahmoud Soliman, Ahmed Abdelkader Ahmed Elkadi, Ahmed Mohamed Mandour, Ahmed Mostafa Thabet, Mustafa hassanian hassanian Bakr and Amr Mohamed Ahmed ThabetKhaled Abdelbaky Abdelrahman, Essam Sharkawy Abdel-Allah, Jehan Ahmed Sayed, Nagwa Mostafa Ibrahiem Osman, Mohamed Fathy Mostafa, Mohamed Ismail Seddiek, Yara Hamdy Abbas, Mohamed Elsayed Mahmoud, Omar Makram Mahmoud Soliman, Ahmed Abdelkader Ahmed Elkadi, Ahmed Mohamed Mandour, Ahmed Mostafa Thabet, Mustafa hassanian hassanian Bakr and Amr Mohamed Ahmed Thabet
Objective: Perioperative fluid restriction in major abdominal surgeries carries a potential risk of organ dysfunction such as acute kidney injury. Profound fluid restriction should be applied cautiously. The aim of this study is to compare the accuracy of (serum creatnine, urine output and KDIGO compared to NGAL for detection of postoperative AKI after colorectal surgery.Methods: Restrictive fluid strategy was applied to all patients with 5 mL/kg/h of lactated ringer (LR) and was administered intraoperatively starting from the induction of general anesthesia till the end of surgery and patient extubation. Data collected included incidence of AKI with three screening tools in addition to intra and postoperative complications.Results: None of the above tested AKI based criteria has satisfactory both sensitivity and specifici.. View More»
DOI:
10.4172/2155-6148.1000873