Risk factors for postoperative acute renal failure at a new orthotopic liver transplantation program.

摘要: ACUTE RENAL failure (ARF) is a frequently observed complication during the postoperative period of orthotopic liver transplantation (OLT) when rate reported renal varies according to and serum creatinine levels considered. Although some patients require dialysis, most recover normal function. ARF one frequent causes morbidity mortality after OLT, Nuno et al indicate 7.8 higher probability in who have undergone ARF, 15 times than that for those required dialysis. Various factors are outstanding preoperative periods, as well surgery, which could explain occurrence ARF. Preoperative include: diabetes mellitus, history ascites encephalopathy, previous kidney lesion. Crawford described glomerular lesions universal all with end-stage disease. During hypovolemia, number packed red blood cell (PRBC) units time total ischemia associated factors. Several series correlate use nephrotoxic drugs, such cyclosporine A (CyA), factor contribute lesions. However, this may also be result complications sepsis multiorgan failure. The purpose study assess development immediate an initial OLT program.