Intraoperative hypotension and postoperative acute kidney injury: A systematic review

• Published in: The American journal of surgery Vol. 232; pp. 45 - 53
• Main Authors: Penev, Yordan, Ruppert, Matthew M., Bilgili, Ahmet, Li, Youlei, Habib, Raiya, Dozic, Abdul-Vehab, Small, Coulter, Adiyeke, Esra, Ozrazgat-Baslanti, Tezcan, Loftus, Tyler J., Giordano, Chris, Bihorac, Azra
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.06.2024; Elsevier Limited
• Subjects: Acute kidney injury; Acute Kidney Injury - epidemiology; Acute Kidney Injury - etiology; Acute Kidney Injury - prevention & control; AKI; Blood pressure; Case studies; Heart surgery; Hemodynamics; Hospital costs; Humans; Hypotension; Hypotension - epidemiology; Hypotension - etiology; Hypotension - prevention & control; Intraoperative Complications - epidemiology; Intraoperative Complications - etiology; Intraoperative Complications - prevention & control; Intraoperative hemodynamics; Intraoperative hypotension; Kappa coefficient; Kidneys; Mortality; Patients; Postoperative complications; Postoperative Complications - epidemiology; Postoperative Complications - etiology; Postoperative Complications - prevention & control; Risk factors; Subject heading schemes; Surgeons; Surgery complications; Systematic review; Thresholds; Trauma; Surgery complications; Intraoperative hypotension; Acute kidney injury; Intraoperative hemodynamics; Postoperative complications; AKI

There is no consensus regarding safe intraoperative blood pressure thresholds that protect against postoperative acute kidney injury (AKI). This review aims to examine the existing literature to delineate safe intraoperative hypotension (IOH) parameters to prevent postoperative AKI. PubMed, Cochrane...