Perioperative renal failure: Predictor

Clinical - Renal/Urine/Electrolytes

Risk factors for AKF in noncardiac surgery patients:  

Preoperative predictors in cardiac surgery patients that have been previously recognized include:

  • Female sex
  • Chronic obstructive pulmonary disease
  • Insulin-dependent diabetes mellitus
  • Congestive heart failure
  • Left ventricular ejection fraction <35%
  • Prior surgery
  • Emergency surgery
  • Pre-operative intra-aortic balloon pump
  • Pre-operative creatinine value above 1.2 mg/dl

Intraoperative Risk Factors during Cardiac Surgery:

  • Use and duration of exposure to cardiopulmonary bypass (CPB)
  • Use of intra-aortic balloon pump
  • Deep hypothermic circulatory arrest
  • Low cardiac output syndrome
  • Low urine output during CPB
  • Need for vasopressors before CPB
  • Number of blood transfusions during surgery


    Keys to the Cart: February 12, 2018; a 5-minute video review of ABA Keywords

    Int Anesthesiol Clin;2009 Fall;47(4):89-105

    [PubMed: 19820480]

    Anesthesiology. 2008 May;108(5):969

    [PubMed: 18043057]


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