Nakayama Yoshinobu, Nakajima Yasufumi, Ogawa Satoru, Iida Jun, Mizobe Toshiki
Department of Anesthesiology and Intensive Care, Kyoto Prefectural University of Medicine, Kyoto 602-8566.
Masui. 2013 Nov;62(11):1326-35.
The number of patients with chronic kidney disease (CKD) continues to increase all over the world for the past ten years. It follows that we have more CKD patients with various complications who need perioperative management in Japan. Previous studies revealed that impaired renal function in preoperative period was the independent predictor of postoperative renal dysfunction. Safe comprehensive anesthetic management is required in order not to aggravate the preoperative CKD. In this review, we will take up some recent topics and novel concept in association with noncardiac surgery for the perioperative management of CKD patients.
在过去十年中，全球慢性肾脏病（CKD）患者的数量持续增加。因此，在日本，我们有更多患有各种并发症的CKD患者需要围手术期管理。先前的研究表明，术前肾功能受损是术后肾功能障碍的独立预测因素。为了不加重术前CKD的病情，需要进行安全全面的麻醉管理。在本综述中，我们将探讨一些与非心脏手术相关的近期话题和新概念，用于CKD患者的围手术期管理。
