Perioperative Management of Patients with Chronic Renal Failure


S.V. Sinkov , S.V. Grigor’ev

Kuban State Medical University, Krasnodar, Russia

For correspondence: Sergey V. Sinkov — Doctor of Med. Sci., associate professor of the Department of Anesthesiology, Reanimatology and Transfusiology of the Kuban State Medical University, head of the Intensive Care Unit № 3 of Regional Clinical Hospital No 2, Krasnodar, Russia; e-mail:

For citation: Sinkov SV, Grigor’ev SV. Perioperative Management of Patients with Chronic Renal Failure. Intensive Care Herald. 2017;4:58–65. DOI:10.21320/1818-474X-2017-4-58-65

The review presents modern approaches to managing patients with chronic kidney disease at various stages of the perioperative period. Among patients requiring surgical intervention, the proportion of patients with initially impaired renal function is increasing, many of them are on programmed dialysis. Reduction of kidney function is observed in 36 % of persons over the age of 60 and in 16 % of patients of working age. The main goal of perioperative management of the patient with concomitant renal pathology is the prevention of the development of acute renal damage on a background of chronic. Such patients require more careful monitoring at all stages of treatment, a special infusion therapy approach, continuity during renal replacement therapy, correction of analgesics, anesthetics, antimicrobials and anticoagulants doses. Non-compliance with these principles is inevitably associated with an increase in the frequency of perioperative complications and mortality.

Keywords: chronic kidney disease, perioperative period

Received: 22.09.2017

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