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학술저널
저자정보
Aditya Sharma (Northeast Ohio Medical University Rootstown OH USA) Ronith Chakraborty (Cleveland Clinic Akron General Medical Center/Akron Nephrology Associates Akron OH USA) Katyayini Sharma (DeBusk College of Osteopathic Medicine Lincoln Memorial University Harrogate TN USA) Sidharth K. Sethi (Kidney and Urology Institute Medanta The Medicity) Rupesh Raina (Cleveland Clinic Akron General Medical Center/Akron Nephrology Associates Akron OH USA)
저널정보
대한신장학회 Kidney Research and Clinical Practice Kidney Research and Clinical Practice Vol.39 No.3
발행연도
2020.1
수록면
259 - 268 (10page)

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Acute kidney injury (AKI) in the pediatric population is a relatively common phenomenon. Specifically, AKI has been found in increasing numbers within the pediatric population following cardiac surgery, with up to 43% of pediatric patients developing AKI post-cardiac surgery. However, recent advances have allowed for the identification of risk factors. These can be divided into preoperative, intraoperative, and postoperative factors. Although the majority of pediatric patients developing AKI after cardiac surgery completely recover, this condition is associated with worse outcomes. These include fluid overload and increased mortality and result in longer hospital and intensive care unit stays. Detecting the presence of AKI has advanced; use of relatively novel biomarkers, including neutrophil gelatinase associated lipocalin, has shown promise in detecting more subtle changes in kidney function when compared to conventional methods. While a single, superior treatment has not been elucidated yet, novel functions of medications, including fenoldopam, theophylline and aminophylline, have been shown to have better outcomes for these patients. With the recent advances in identification of risk factors, outcomes, diagnosis, and management, the medical community can further explain the complexities of AKI in the pediatric population post-cardiac surgery

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