Does adjusting anesthetic doses according to GFR prevent postoperative complications in patients with chronic kidney disease?
1,467 patients in pre-anesthetic consultations
Adjusting anesthetic doses according to glomerular filtration rate (GFR)
Postoperative complicationssafety
Early screening for CKD and adjusting anesthetic doses based on GFR allows for safe perioperative management without postoperative complications.
Chronic kidney disease (CKD) poses a major challenge in anesthesia due to its effects on the pharmacology of the agents used. This prospective study, conducted on 1,467 patients in pre-anesthetic consultations, found a prevalence of 1.3%, primarily due to hypertension and diabetes. Adjusting doses according to glomerular filtration rate (GFR) allowed for safe management without postoperative complications. These results highlight the importance of early screening and an individualized anesthetic strategy.
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C. Congera
C. Rbiai
A. Mouna
Hôpital Militaire Avicenne
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Congera et al. (Wed,) studied this question.
www.synapsesocial.com/papers/69d8962d6c1944d70ce077f5 — DOI: https://doi.org/10.5281/zenodo.19474821