Recomendación
Assessing risk factors in adults having surgery
NICE ()
Assess the risk of acute kidney injury in adults before surgery. Be aware that increased risk is associated with: emergency surgery, especially when the person has sepsis or hypovolaemia intraperitoneal surgery chronic kidney disease (adults with an eGFR less than 60 ml/min/1.73 m2 are at particular risk) diabetes heart failure age 65 years or over liver disease use of drugs that can cause or exacerbate kidney injury in the perioperative period (in particular, NSAIDs after surgery). Use the risk assessment to inform a clinical management plan. [2013] 1.1.9Include the risks of developing acute kidney injury in the routine discussion of risks and benefits of surgery. Follow the recommendations on shared decision making in the NICE guideline on patient experience in adult NHS services.
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Especialidad:
Varias especialidades
Año Publicación:
2019
Tipo de Intervención:
Preventiva
Tipo de Recomendación:
Alto valor