"I think what is really important is that you counsel the patient in the preop clinic," Dr. Niemann said.
Preoperative clinic staff should review the procedure and risks based on the presence and severity of the patient’s CKD and outline possible outcomes based on the best available evidence.
"We do it for the heart, but we don’t do it for the kidney," he commented.
During surgery, the team should be aware of the risks of a potential "second hit" – that is, an acute injury on top of chronic disease, and after surgery, clinicians should monitor for the known risk factors, such as sepsis and infection, he said.
Dr. Niemann reported no relevant conflicts.