1. Acute kidney injury following implementation of an enhanced recovery after surgery (ERAS) protocol in colorectal surgery
- Author
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Deviney Rattigan, Justin Dy, Robin F. Irons, Steven J McClane, Ronak G Desai, Helena McElhenney, Michael E Kwiatt, John P. Gaughan, Joseph H. Marcotte, Monika Dobrowolski, Kinjal M. Patel, and Kevin W. Cahill
- Subjects
Male ,medicine.medical_specialty ,Renal function ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Postoperative Complications ,030202 anesthesiology ,Hypovolemia ,medicine ,Humans ,Digestive System Surgical Procedures ,Aged ,Postoperative Care ,Creatinine ,business.industry ,Gastroenterology ,Acute kidney injury ,Recovery of Function ,Diverticulitis ,Acute Kidney Injury ,Length of Stay ,Middle Aged ,medicine.disease ,Colorectal surgery ,chemistry ,Elective Surgical Procedures ,030220 oncology & carcinogenesis ,Anesthesia ,Female ,medicine.symptom ,business ,Hypervolemia ,Colorectal Surgery ,Kidney disease - Abstract
Fluid management within Enhanced Recovery After Surgery (ERAS) protocols is designed to maintain a euvolemic state avoiding the negative sequelae of hypervolemia or hypovolemia. We sought to determine the effect of a recent ERAS protocol implementation on kidney function and on the incidence of postoperative acute kidney injury (AKI). A total of 132 elective colorectal resections performed using our ERAS protocol were compared to a propensity-matched group prior to ERAS implementation. Fluid balance, urine output, creatinine, and blood urea nitrogen (BUN) were recorded for all patients, and the incidence of AKI was determined according to the Kidney Disease Improving Global Outcomes (KDIGO) criteria. Implementation of our ERAS protocol decreased average postoperative length of hospital stay (5.5 vs 7.7 days, p
- Published
- 2018