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Cardiac Surgery-Associated Acute Kidney Injury in Adults: Clinical Outcomes, Prevention Strategies, and Future Therapies in the Postoperative Period.

Cardiac surgery-associated acute kidney injury (CSA-AKI) is a major postoperative complication that results in significant morbidity and mortality. Causes are heterogeneous, treatment strategies are largely supportive, and data on outcomes, such as potential for recovery, are lacking. This literatur...

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Publicado en:Nephrology Nursing Journal Vol. 50; no. 4; pp. 321 - 333
Autores principales: Wang, Ketty C., Moore, Amy E.
Formato: CEU research systematic review tables/charts Journal Article
Publicado: American Nephrology Nurses' Association Jul/Aug2023
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Nephrology Nursing Journal
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      dt: Jul/Aug2023
      vid: 50
      iid: 4
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      pub: American Nephrology Nurses' Association
      place: Pitman, New Jersey
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        atl: Cardiac Surgery-Associated Acute Kidney Injury in Adults: Clinical Outcomes, Prevention Strategies, and Future Therapies in the Postoperative Period.
      aug:
        au:
          Wang, Ketty C.
          Moore, Amy E.
        affil: Clinical Nurse 2, Surgical Intensive Care Unit, Hospital of the University of Pennsylvania, Philadelphia, PA
      sug:
        subj:
          Cardiac Surgery
          Kidney Failure, Acute Complications
          Treatment Outcomes
          Postoperative Period
          Human
          Male
          Female
          Systematic Review
          Education, Continuing (Credit)
          CINAHL Database
          Embase
          PubMed
          Adult
          Diuresis
          Furosemide
          Sepsis
          Length of Stay
          Hemodynamics
          Renal Replacement Therapy
          Adult: 19-44 years
          Male
          Female
      ab: Cardiac surgery-associated acute kidney injury (CSA-AKI) is a major postoperative complication that results in significant morbidity and mortality. Causes are heterogeneous, treatment strategies are largely supportive, and data on outcomes, such as potential for recovery, are lacking. This literature review explores the evidence on how furosemide may alter the course and outcome of postoperative fluid overload in patients with CSA-AKI. Nephrology nurse practitioners need to employ tailored preventive therapies at the preoperative, intraoperative, and postoperative points of care. This article discusses the unique methods for CSAAKI mechanisms, hemodynamic monitoring strategies employed at the point of care recommended by clinical practice guidelines and recent evidence, and emerging biomarkers of AKI.
      pubtype: Academic Journal
      doctype:
        CEU
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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