Prevention of Perioperative Renal Failure

Abstract

Acute renal failure in the perioperative setting is a significant complication of anaesthesia and surgery. Preventive strate-gies may be considered the best strategy to prevent renal impairment and consequent renal failure. The anaesthesiologist must identify high risk patients preoperatively to prevent postoperative renal dysfunction along with optimizing intravascular volume status and cardiac output as well as renal function and avoiding nephrotoxins in the perioperative period. This can best be accomplished if the clinician understands the pathophysiological basis of the disease process.

Keywords

• Acute renal failure
• Perioperative
• Nephrotoxin