Validation of a Real-Time Minute-to-Minute Urine Output Monitor and the Feasibility of Its Clinical Use for Patients Undergoing Cardiac Surgery
Acute kidney injury after cardiac surgery is associated with increased morbidity and mortality. Methods for measuring urine output in real time may better ensure renal perfusion perioperatively in contrast to the current standard of care where urine output is visually estimated after empiric epochs...
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Veröffentlicht in: | Anesthesia and analgesia 2017-12, Vol.125 (6), p.1883-1886 |
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container_title | Anesthesia and analgesia |
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creator | Chang, Aaron J. Nomura, Yohei Barodka, Viachaslau M. Hori, Daijiro Magruder, Jonathan T. Katz, Nevin M. Berkowitz, Dan E. Hogue, Charles W. |
description | Acute kidney injury after cardiac surgery is associated with increased morbidity and mortality. Methods for measuring urine output in real time may better ensure renal perfusion perioperatively in contrast to the current standard of care where urine output is visually estimated after empiric epochs of time. In this study, we describe an accurate method for monitoring urine output continuously during cardiopulmonary bypass. This may provide a means for setting patient-specific targets for blood pressure and cardiopulmonary bypass flow as a potential strategy to reduce the risk for acute kidney injury. |
doi_str_mv | 10.1213/ANE.0000000000002217 |
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Methods for measuring urine output in real time may better ensure renal perfusion perioperatively in contrast to the current standard of care where urine output is visually estimated after empiric epochs of time. In this study, we describe an accurate method for monitoring urine output continuously during cardiopulmonary bypass. This may provide a means for setting patient-specific targets for blood pressure and cardiopulmonary bypass flow as a potential strategy to reduce the risk for acute kidney injury.</description><subject>Acute Kidney Injury - diagnosis</subject><subject>Acute Kidney Injury - etiology</subject><subject>Acute Kidney Injury - urine</subject><subject>Aged</subject><subject>Cardiac Surgical Procedures - adverse effects</subject><subject>Cardiac Surgical Procedures - standards</subject><subject>Cardiac Surgical Procedures - trends</subject><subject>Computer Systems - standards</subject><subject>Computer Systems - trends</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Monitoring, Physiologic - standards</subject><subject>Monitoring, Physiologic - trends</subject><subject>Postoperative Complications - diagnosis</subject><subject>Postoperative Complications - urine</subject><subject>Urination - physiology</subject><issn>0003-2999</issn><issn>1526-7598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkttuEzEQhi0EoiHwBgj5khsXH9Z7uEGqohYqtRRBw63lXc8mBsdObS9VnoJXxlFKW2pZssfzzzcj_UboLaPHjDPx4eTL6TF9tDhnzTM0Y5LXpJFd-xzNyqsgvOu6I_QqpZ8lZLStX6Ij3rGOctbO0J8f2lmjsw0ehxFr_A20I9d2A_jS-ikDyYEcbngZrQd8NeXtlPFl8DaHiLU3OK8Bn4FOtrfO5t0edJ4TXjjr7aAdXibAY9F-LX3Al8zSG4irYP0KL3Q0Vg_4-xRXEHev0YtRuwRv7s45Wp6dXi8-k4urT-eLkwsyVFLUhItxrKAv2zStoIa2rOp5ZUYpGZM9tLJqRimG0YCQNdBWsG5sWz0YWUvWSzFHHw_c7dRvwAxlrKid2ka70XGngrbq_4y3a7UKv5VseC0oK4D3d4AYbiZIWW1sGsA57SFMSbGuYXVV7a2ao-ogHWJIKcJ434ZRtReo4qV66mUpe_d4xPuif-Y9cG-DyxDTLzfdQlTr4mBeH3hSdIRT1jBeArL_ALX4C-vYq48</recordid><startdate>20171201</startdate><enddate>20171201</enddate><creator>Chang, Aaron J.</creator><creator>Nomura, Yohei</creator><creator>Barodka, Viachaslau M.</creator><creator>Hori, Daijiro</creator><creator>Magruder, Jonathan T.</creator><creator>Katz, Nevin M.</creator><creator>Berkowitz, Dan E.</creator><creator>Hogue, Charles W.</creator><general>International Anesthesia Research Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20171201</creationdate><title>Validation of a Real-Time Minute-to-Minute Urine Output Monitor and the Feasibility of Its Clinical Use for Patients Undergoing Cardiac Surgery</title><author>Chang, Aaron J. ; 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Methods for measuring urine output in real time may better ensure renal perfusion perioperatively in contrast to the current standard of care where urine output is visually estimated after empiric epochs of time. In this study, we describe an accurate method for monitoring urine output continuously during cardiopulmonary bypass. This may provide a means for setting patient-specific targets for blood pressure and cardiopulmonary bypass flow as a potential strategy to reduce the risk for acute kidney injury.</abstract><cop>United States</cop><pub>International Anesthesia Research Society</pub><pmid>29190218</pmid><doi>10.1213/ANE.0000000000002217</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Acute Kidney Injury - diagnosis Acute Kidney Injury - etiology Acute Kidney Injury - urine Aged Cardiac Surgical Procedures - adverse effects Cardiac Surgical Procedures - standards Cardiac Surgical Procedures - trends Computer Systems - standards Computer Systems - trends Feasibility Studies Female Humans Male Middle Aged Monitoring, Physiologic - standards Monitoring, Physiologic - trends Postoperative Complications - diagnosis Postoperative Complications - urine Urination - physiology |
title | Validation of a Real-Time Minute-to-Minute Urine Output Monitor and the Feasibility of Its Clinical Use for Patients Undergoing Cardiac Surgery |
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