Agodoa Lawrence
End Stage Renal Disease, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD 20892, USA.
J Perianesth Nurs. 2002 Dec;17(6):377-83. doi: 10.1053/jpan.2002.36784.
Acute renal failure (ARF) in the PACU can lead to serious morbidity or even death. The incidence of acute renal failure appears to be increasing. This review article is intended to provide the staff in the PACU with relatively easy means to recognize the development of ARF, and provide recommendations for prompt and intensive management. Existence of renal dysfunction, complex surgical procedures that require cardiopulmonary bypass, and vascular surgery involving the aorta are associated with a high incidence of ARF. In spite of the improved overall care of the patient in the PACU, the occurrence of ARF is associated with a very high likelihood of morbidity and mortality. Prompt recognition of the ARF and aggressive management in the PACU may improve the patient's chances of survival. Large-scale, prospective, randomized clinical trials in the PACU setting are needed to determine the most effective management plan. This is a U.S. government work. There are no restrictions on its use.
麻醉后监护病房（PACU）中的急性肾衰竭（ARF）可导致严重的发病情况甚至死亡。急性肾衰竭的发病率似乎在上升。这篇综述文章旨在为PACU的工作人员提供相对简便的方法来识别ARF的发展，并提供及时和强化管理的建议。存在肾功能障碍、需要体外循环的复杂外科手术以及涉及主动脉的血管手术与ARF的高发病率相关。尽管PACU中患者的整体护理有所改善，但ARF的发生与非常高的发病和死亡可能性相关。在PACU中及时识别ARF并积极管理可能会提高患者的生存机会。需要在PACU环境中进行大规模、前瞻性、随机临床试验，以确定最有效的管理方案。这是美国政府的作品。其使用没有限制。
