Adjusting anesthetic doses according to GFR in patients with chronic kidney disease (1.3% prevalence among 1,467 screened) allowed for safe management without postoperative complications.
Observational (n=1,467)
Does adjusting anesthetic doses according to GFR prevent postoperative complications in patients with chronic kidney disease?
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.
Congera et al. (Wed,) conduziram uma observacional em Doença renal crônica (n=1.467). O ajuste de dose de acordo com a taxa de filtração glomerular (TFG) foi avaliado sobre a prevalência de DRC. O ajuste das doses anestésicas de acordo com a TFG em pacientes com doença renal crônica (1,3% de prevalência entre os 1.467 triados) permitiu uma gestão segura sem complicações pós-operatórias.