What is it about?
The renal perfusion pressure (RPP) depends on the mean arterial pressure, and even on intraabdominal, central venous and mean airway pressures. A combined parameter derived from these can predict the occurence of acute kidney injury (AKI) after abdominal surgery. AKI develops in every patients with RPP below 41 mmHg on admission, and in most patients having RPP above this value but decrease in tendency within the first 12 postoperative hours in intensive care unit.
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Why is it important?
Our findings highlight the importance of factors influencing effective renal perfusion pressure in developing AKI after abdominal surgery. To our knowledge, the role of mean airway pressure have not been investigated till our study.
Perspectives
Our formula after validation in larger population can provide an easy tool for preventing postoperative AKI by optimizing the therapeutic interventions and its timing.
Csaba Kopitko
Vaszary Kolos Korhaz
Read the Original
This page is a summary of: The value of combined hemodynamic, respiratory and intra-abdominal pressure monitoring in predicting acute kidney injury after major intraabdominal surgeries, Renal Failure, January 2019, Taylor & Francis,
DOI: 10.1080/0886022x.2019.1587467.
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