当前位置： SCI文献检索 > JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA期刊下所有文献 > The Impact of Fluid Balance on the Detection, Classification and Outcome of Acute Kidney Injury After Cardiac Surgery.

The Impact of Fluid Balance on the Detection, Classification and Outcome of Acute Kidney Injury After Cardiac Surgery.

Abstract：

OBJECTIVE:To assess whether or not a positive fluid balance masks acute kidney injury (AKI) and is associated with adverse outcomes after cardiac surgery. DESIGN:Retrospective analysis. SETTING:Tertiary university-affiliated metropolitan hospital: single center. PARTICIPANTS:Three thousand two hundred seven consecutive cardiac surgical patients admitted to the ICU from July 1, 2004 to June 30, 2012. INTERVENTIONS:None. MEASUREMENTS AND MAIN RESULTS:The authors used AKI Network criteria to classify AKI. They then adjusted creatinine levels for weight-corrected fluid balance and categorized patients into 3 groups: group A (No AKI); group B (AKI only after adjustment); group C (AKI before and after adjustment). No patients had "AKI" before but "No AKI" after adjustment. Among 2,171 patients with weight and baseline creatinine available, after adjusting for fluid balance, the proportion of patients classified with AKI increased from 25.3% to 37.2% (p<0.001). In patients with AKI only after adjustment (group B), ICU mortality approximated that of group C (1.9% v 3.1%, p = 0.35) but was almost 3 times greater than group A (1.9% v 0.7%, p = 0.04). For group B, use of renal replacement therapy also was greater than group A (4.3% v 1.5%, p = 0.004) but less than group C (4.3% v 14.4%, p<0.001). The same trend was found for ICU length of stay (p≤0.001) and other adverse outcomes. CONCLUSIONS:Patients with AKI diagnosed after correction for the effect of a positive fluid balance on serum creatinine concentration have more adverse outcomes than patients without AKI by conventional criteria, but fewer than patients with AKI by conventional criteria.

journal_name

J Cardiothorac Vasc Anesth

journal_title

Journal of cardiothoracic and vascular anesthesia

authors

Moore E,Tobin A,Reid D,Santamaria J,Paul E,Bellomo R

doi

10.1053/j.jvca.2015.02.004

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

1229-35

issue

5

eissn

1053-0770

issn

1532-8422

pii

S1053-0770(15)00070-1

journal_volume

29

pub_type

杂志文章

相关文献

JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA文献大全
  • Effects of fenoldopam mesylate on central hemodynamics and renal flow in patients undergoing cardiac surgery: color Doppler echocardiographic evaluation.

    abstract：OBJECTIVE:The purpose of this study was to evaluate the effect of 0.1 microg/kg/min of fenoldopam mesylate on renal flow and central hemodynamics measured by echocardiography in hemodynamically stable patients with preserved renal function undergoing cardiac surgery. DESIGN:Experimental observational study. SETTING:S...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2009.04.012

    authors： Meco M,Cirri S

    更新日期：2010-02-01 00:00:00

  • Combined central venous oxygen saturation and lactate as markers of occult hypoperfusion and outcome following cardiac surgery.

    abstract：OBJECTIVE:To assess the association between postoperative central venous oxygen saturation (ScvO(2)) and arterial lactate with outcome after cardiac surgery. DESIGN:Prospective observational study. SETTING:University-affiliated tertiary care hospital. PARTICIPANTS:Patients after coronary artery bypass and/or valve s...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2011.07.021

    authors： Hu BY,Laine GA,Wang S,Solis RT

    更新日期：2012-02-01 00:00:00

  • Glycocalyx Degradation and Inflammation in Cardiac Surgery.

    abstract：OBJECTIVE:Experimental inflammation induces degradation of glycocalyx. The authors hypothesized that inflammation is an important determinant of glycocalyx degradation in patients undergoing cardiac surgery with cardiopulmonary bypass (CPB). DESIGN:A prospective observational study. SETTING:Operation theater and inte...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2018.04.007

    authors： Pesonen E,Passov A,Andersson S,Suojaranta R,Niemi T,Raivio P,Salmenperä M,Schramko A

    更新日期：2019-02-01 00:00:00

  • Pharmacodynamics of pentamorphone during coronary artery bypass grafting in humans.

    abstract：:Pentamorphone is a new, highly potent opioid reported to have minimal cardiovascular effects in humans and a high therapeutic index in animals. Pentamorphone was injected intravenously (IV) as the sole anesthetic in 10 patients with left ventricular ejection fractions greater than 0.35 who were undergoing elective cor...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1016/1053-0770(92)90192-a

    authors： Falinski BA,Sebel PS,Hug CC Jr,Klochany A

    更新日期：1992-04-01 00:00:00

  • Implementing a Statistical Model for Protamine Titration: Effects on Coagulation in Cardiac Surgical Patients.

    abstract：OBJECTIVES:To implement a statistical model for protamine titration. DESIGN:Prospective randomized trial. SETTING:University hospital. PARTICIPANTS:Sixty (n = 30+30) patients scheduled for elective coronary artery bypass surgery were randomly assigned to 2 groups. INTERVENTIONS:Protamine dose calculated according t...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1053/j.jvca.2016.07.018

    authors： Hällgren O,Svenmarker S,Appelblad M

    更新日期：2017-04-01 00:00:00

  • CPAP Effects on Oxygen Delivery in One-Lung Ventilation During Minimally Invasive Surgical Ablation for Atrial Fibrillation in The Supine Position.

    abstract：OBJECTIVE:In minimally invasive surgical ablation for atrial fibrillation during video-assisted thoracoscopy surgery, one-lung ventilation (OLV) with a double- lumen tube is commonly employed. In contrast with the majority of thoracic procedures, the patient lies supine; thus, the protective effect of gravity is lost a...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2020.03.064

    authors： L'Acqua C,Meli A,Rondello N,Polvani G,Salvi L

    更新日期：2020-11-01 00:00:00

  • Impact of Intraoperative Hypotension During Cardiopulmonary Bypass on Acute Kidney Injury After Coronary Artery Bypass Grafting.

    abstract：OBJECTIVE:The aim of this study was to investigate whether acute kidney injury (AKI) after coronary artery bypass grafting can be attributed to intraoperative hypotension during cardiopulmonary bypass (IOH-CPB). DESIGN:Retrospective analysis. SETTING:Tertiary-care hospital. PARTICIPANTS:Patients undergoing on-pump c...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2016.07.040

    authors： Rettig TCD,Peelen LM,Geuzebroek GSC,van Klei WA,Boer C,van der Veer JW,Hofland J,van de Garde EMW,Noordzij PG

    更新日期：2017-04-01 00:00:00

  • Paravertebral ropivacaine, 0.3%, and bupivacaine, 0.25%, provide similar pain relief after thoracotomy.

    abstract：OBJECTIVE:This study was designed to determine whether ropivacaine plus fentanyl was as effective as bupivacaine plus fentanyl in a continuous thoracic paravertebral block after posterolateral thoracotomy. DESIGN:Patients were randomly assigned in a blinded fashion to receive 1 of 2 solutions for paravertebral analges...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1053/j.jvca.2006.02.032

    authors： Navlet MG,Garutti I,Olmedilla L,Pérez-Peña JM,San Joaquin MT,Martinez-Ragues G,Gomez-Caro L

    更新日期：2006-10-01 00:00:00

  • Postpandemic Influenza Mortality of Venovenous Extracorporeal Membrane Oxygenation-Treated Patients in Reunion Island: A Retrospective Single Center Study.

    abstract：OBJECTIVES:The aim of the present study was to assess the post-pandemic mortality of influenza in patients receiving venovenous extracorporeal membrane oxygenation (VV-ECMO) in Reunion Island, France, by comparing the incidence with other patients undergoing VV-ECMO. DESIGN:Retrospective, descriptive, and single-cente...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2019.12.043

    authors： Vandroux D,Kerambrun H,Ferdynus C,Allou N,Allyn J,Gaüzère BA,Martinet O,Jabot J

    更新日期：2020-06-01 00:00:00

  • Comparison of spectral entropy and bispectral index electroencephalography in coronary artery bypass graft surgery.

    abstract：OBJECTIVE:The study's aim was to compare response entropy (RE) and state entropy (SE) with bispectral index (BIS) electroencephalography (EEG) as an alternative cerebral monitoring tool in patients scheduled for coronary artery bypass graft surgery. DESIGN:Prospective, observational single-center study. SETTING:Unive...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2009.09.013

    authors： Baulig W,Seifert B,Schmid ER,Schwarz U

    更新日期：2010-08-01 00:00:00

  • A cadaver study to measure the adult glottis and subglottis: defining a problem associated with the use of double-lumen tubes.

    abstract：OBJECTIVE:To test the hypothesis that the adult cricoid diameter is the same or less than that of the glottis. DESIGN:Prospective. SETTING:A city mortuary. PARTICIPANTS:Adult cadavers undergoing autopsy. INTERVENTIONS:After removal of the organs, the trachea was opened above the first ring to allow access to the cr...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/jcan.2002.31066

    authors： Seymour AH,Prakash N

    更新日期：2002-04-01 00:00:00

  • Magnesium in addition to sotalol does not influence the incidence of postoperative atrial tachyarrhythmias after coronary artery bypass surgery.

    abstract：OBJECTIVE:Postoperative atrial tachyarrhythmias (POATs) after coronary artery bypass grafting (CABG) are reported in 11% to 40% of patients. Several etiologic factors are mentioned. Prophylactic intervention with sotalol is reported to reduce the incidence of POAT. The authors studied the effect of magnesium chloride (...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1053/j.jvca.2004.03.010

    authors： Geertman H,van der Starre PJ,Sie HT,Beukema WP,van Rooyen-Butijn M

    更新日期：2004-06-01 00:00:00

  • Prone positioning and acute respiratory distress syndrome after cardiac surgery: a feasibility study.

    abstract：OBJECTIVE:To determine the feasibility, safety, and efficacy on PaO(2)/F(I)O(2) ratio of prone positioning (PP) for acute respiratory distress syndrome (ARDS) after cardiac surgery. DESIGN:Retrospective review of information entered prospectively in the authors' database. SETTING:A private community nonteaching hospi...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2007.10.013

    authors： Maillet JM,Thierry S,Brodaty D

    更新日期：2008-06-01 00:00:00

  • Effects of levosimendan on left ventricular function: correlation with plasma concentrations in conscious dogs.

    abstract：OBJECTIVES:To test the hypothesis that the hemodynamic and left ventricular functional actions of levosimendan (Orion Pharmaceutica, Espoo, Finland), a new myofilament calcium sensitizer with phosphodiesterase-inhibiting properties, in conscious dogs are correlated with plasma concentrations of the drug measured with r...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1016/s1053-0770(97)90252-4

    authors： McGough MF,Pagel PS,Lowe D,Hettrick DA,Kersten JR,Warltier DC

    更新日期：1997-02-01 00:00:00

  • Critical Care of Patients After Pulmonary Thromboendarterectomy.

    abstract：:Pulmonary thromboendarterectomy (PTE) remains the only curative surgery for patients with chronic thromboembolic pulmonary hypertension (CTEPH). Postoperative intensive care unit care challenges providers with unique disease physiology, operative sequelae, and the potential for detrimental complications. Central conce...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,评审

    doi：10.1053/j.jvca.2019.03.005

    authors： Kratzert WB,Boyd EK,Saggar R,Channick R

    更新日期：2019-11-01 00:00:00

  • The response of the vascular beds to sodium bicarbonate in patients during normothermic bypass.

    abstract：OBJECTIVES:Cardiopulmonary bypass (CPB) provides a unique circumstance to study the effects of drugs on the systemic vasculature. Thus, this study was designed to evaluate the effects of sodium bicarbonate on the systemic circulation during CPB in humans. DESIGN:Randomized, double-blind study. SETTING:Tertiary care u...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,随机对照试验

    doi：10.1053/j.jvca.2007.06.001

    authors： Tripathi M,Singh PK,Nath SS,Singh U

    更新日期：2008-04-01 00:00:00

  • Increased alveolar damage after mechanical ventilation in a porcine model of thoracic surgery.

    abstract：OBJECTIVE:Mechanical stress during one-lung ventilation (OLV) results in lung injury. This study compared the effects of mechanical ventilation, OLV, and surgical manipulation on diffuse alveolar damage (DAD) after application of different anesthetic regimens. DESIGN:Prospective, randomized, controlled, blinded animal...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2009.09.016

    authors： Kozian A,Schilling T,Röcken C,Breitling C,Hachenberg T,Hedenstierna G

    更新日期：2010-08-01 00:00:00

  • Tissue factor pathway inhibitor antigen and activity in 96 patients receiving heparin for cardiopulmonary bypass.

    abstract：OBJECTIVE:To identify patients with poor tissue factor pathway inhibitor (TFPI) response to heparin and observe any association with increased risk of excessive coagulation activation, morbidity, or mortality. DESIGN:Prospective, observational cohort study. SETTING:University hospital. PARTICIPANTS:Patients (n = 96)...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/jcan.2002.29677

    authors： Adams MJ,Cardigan RA,Marchant WA,Grocott MP,Mythen MG,Mutch M,Purdy G,Mackie IJ,Machin SJ

    更新日期：2002-02-01 00:00:00

  • Anesthesiologic Management of Patients Undergoing Cardiac Transapical Procedures: Which Challenges in the Modern Era?

    abstract：OBJECTIVE:Patients undergoing transapical cardiac procedure are a minority of cardiac surgery patients but represent a challenge for cardiac anesthesiologists because they generally are older and have more comorbidities than do open heart cardiac surgery patients. The aims of this study were to describe the anesthetic ...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2018.10.039

    authors： Pieri M,De Luca M,Gerli C,Crivellari M,Buzzatti N,Denti P,Stamelos M,Zangrillo A,Landoni G,Monaco F

    更新日期：2019-07-01 00:00:00

  • Pharmacokinetics of amrinone in neonates and infants.

    abstract：OBJECTIVE:To evaluate the pharmacokinetics of amrinone and its metabolites in neonates and infants after reconstructive surgery for congenital heart disease. DESIGN:Prospective study. SETTING:Pediatric intensive care unit in a university hospital. PARTICIPANTS:Fifteen neonates aged less than 1 month with transpositi...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/jcan.2000.7922

    authors： Laitinen P,Ahonen J,Olkkola KT,Peltola K,Rautiainen P,Räsänen J

    更新日期：2000-08-01 00:00:00

  • Incidence and Outcomes of Heparin-Induced Thrombocytopenia in Patients Undergoing Vascular Surgery.

    abstract：OBJECTIVE:The National Inpatient Sample (NIS) from years 2010 through 2012 was utilized to determine the incidence, predictive risk factors, and outcomes of heparin-induced thrombocytopenia (HIT) in patients undergoing vascular surgery. DESIGN:Retrospective population-based study. SETTING:Data from the National Inpat...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2017.05.024

    authors： Chaudhry R,Wegner R,Zaki JF,Pednekar G,Tse A,Kukreja N,Grewal N,Williams GW

    更新日期：2017-10-01 00:00:00

  • Forced-air warming is no more effective than conventional methods for raising postoperative core temperature after cardiac surgery.

    abstract：OBJECTIVE:To determine whether postoperative forced-air warming of cardiac bypass patients in the intensive care unit (ICU) results in faster rate of warming and improved outcomes compared with more conventional ICU warming methods. DESIGN:Prospective randomized effectiveness study. SETTING:Three hundred fifty-bed un...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s1053-0770(97)90162-2

    authors： Villamaria FJ,Baisden CE,Hillis A,Rajab MH,Rinaldi PA

    更新日期：1997-10-01 00:00:00

  • Utility of Established Risk Models to Predict Surgical Mortality in Acute Type-A Aortic Dissection.

    abstract：OBJECTIVE:The objective of this study was to determine the predictive value of 2 established risk models for surgical mortality in a contemporary cohort of patients undergoing repair of acute type-A aortic dissection. DESIGN:Retrospective analysis. SETTING:Single tertiary care hospital. PARTICIPANTS:Seventy-nine con...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2015.08.008

    authors： Yu PJ,Cassiere HA,Kohn N,Dellis SL,Manetta F,Esposito RA,Hartman AR

    更新日期：2016-01-01 00:00:00

  • Predictive accuracy of alfentanil infusion in coronary artery surgery: a prebypass study in middle-aged and elderly patients.

    abstract：:Twenty-three informed and consenting patients scheduled for CABG were anesthetized using computer-controlled infusions of alfentanil, midazolam, and pancuronium. Thirteen middle-aged patients received a preprogrammed infusion scheme of alfentanil, simulated using the population pharmacokinetic set of Maitre et al (Gro...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,评审

    doi：10.1016/1053-0770(94)90238-0

    authors： Barvais L,D'Hollander A,Schmartz D,Hendrice C,Cantraine F,Coussaert E

    更新日期：1994-06-01 00:00:00

  • Methylene blue does not neutralize heparin after cardiopulmonary bypass.

    abstract：OBJECTIVE:It was hypothesized that methylene blue could neutralize heparin in patients after cardiopulmonary bypass and become an alternative to protamine. DESIGN:This was a prospective unblinded study with patients serving as their own controls. SETTING PARTICIPANTS: A single, large university hospital. This study wa...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1016/s1053-0770(05)80007-2

    authors： Metz S,Horrow JC,Goel IP,Kuretu ML,Bellwoar C

    更新日期：1996-06-01 00:00:00

  • Pro: early extubation after cardiac surgery decreases intensive care unit stay and cost.

    abstract：:The recurrent or new trends of early extubation after cardiac surgery are here to stay in the 1990s. The preoperative status does not necessarily predict the postoperative course and prolonged mechanical ventilation following cardiac surgery should not be uncritically considered as routine. All patients should be asse...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,评审

    doi：10.1016/s1053-0770(05)80105-3

    authors： Cheng DC

    更新日期：1995-08-01 00:00:00

  • A Review of Middle Aortic Syndromes in Pediatric Patients.

    abstract：:Middle aortic syndrome (MAS) is a rare vascular disease occurring in pediatric patients. MAS describes narrowing of the abdominal aorta, often referred to as abdominal coarctation. Extra-aortic vessels are commonly involved, including the renal and mesenteric arteries. Pediatric patients with MAS frequently present wi...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章,评审

    doi：10.1053/j.jvca.2019.07.130

    authors： Forman N,Sinskey J,Shalabi A

    更新日期：2020-04-01 00:00:00

  • Total intravenous anesthesia with ketamine for pediatric interventional cardiac procedures.

    abstract：OBJECTIVE:To evaluate the safety and efficacy of ketamine in pediatric patients undergoing interventional cardiac procedures. DESIGN:A retrospective clinical study. SETTING:A single, tertiary referral center. PARTICIPANTS:Patients (n = 107) undergoing interventional cardiac procedures between July 1996 and July 1998...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1016/s1053-0770(00)90053-3

    authors： Singh A,Girotra S,Mehta Y,Radhakrishnan S,Shrivastava S

    更新日期：2000-02-01 00:00:00

  • Methicillin-resistant Staphylococcus species in a cardiac surgical intensive care unit: a 5-year experience.

    abstract：OBJECTIVES:Methicillin-resistant Staphylococcus is a growing problem in intensive care units (ICUs). The aim of this study was to describe the epidemiology of methicillin-resistant Staphylococcus isolates in a cardiac surgical ICU over a 5-year period and to determine the risk factors and outcome of this condition. ME...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2004.12.002

    authors： Zangrillo A,Landoni G,Fumagalli L,Bove T,Bellotti F,Sottocorna O,Roberti A,Marino G

    更新日期：2006-02-01 00:00:00

  • Transesophageal Echocardiographic Measurement of Cardiac Index by the Prosthetic Mitral Valve Method Is Not Similar to the Continuous Thermodilution Method Via a Pulmonary Artery Catheter.

    abstract：OBJECTIVE:To compare the agreement of cardiac index measurements between transesophageal echocardiography across the prosthetic mitral valve and the continuous thermodilution method through a pulmonary artery catheter (PAC-TD) in patients undergoing double-valve replacement. DESIGN:Observational prospective study. SE...

    journal_title：Journal of cardiothoracic and vascular anesthesia

    pub_type： 杂志文章

    doi：10.1053/j.jvca.2015.10.022

    authors： Shi H,Wang Z,Wei H,Ge Y,Chen X

    更新日期：2016-04-01 00:00:00