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Emergency abdominal surgery in patients with chronic kidney disease (CKD) represents a challenge for the surgical team due to the pathophysiological alterations associated with renal failure. These patients have a higher risk of perioperative complications and a lower physiological reserve to tolerate surgical trauma and anesthesia.¹ The degree of renal failure and the use of dialysis also affects the outcome and subsequent morbidity.²  

Before surgery, it is essential to perform a comprehensive evaluation of the patient with CKD.³ Key aspects to consider include determining the glomerular filtration rate (GFR) and serum creatinine and urea levels; identifying imbalances such as hyperkalemia, hyponatremia, or metabolic acidosis; evaluating blood volume and blood pressure to prevent episodes of intraoperative hypotension; reviewing the presence of anemia, coagulation disorders, and platelet dysfunction, which are common in CKD; and adjusting or discontinuing drugs that may impair renal function. In patients with advanced stages, assessing the need for a preoperative dialysis session to optimize metabolic balance is crucial.

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2025-03-21   |   126 visitas   |   Evalua este artículo 0 valoraciones

Vol. 14 Núm.1. Enero-Marzo 2025 Pags. 5-6 Rev Mex Cirug Apar Diges 2025; 14(1)