Monitoring and prevention of acute kidney injury in endoscopic sleeve gastrectomy with morbid obesity patients

Abstract

In article the main methods of monitoring and preventing of kidney injury in endoscopic sleeve gastrectomy with morbid obesity patients are considered. It is revealed that it has polyetiological character, in this regard complex monitoring and preventing of the major factors causing renal kidney injury is necessary: global markers of fabric perfusion, level of intraabdominal pressure, indicators of a rabdomiolisys. The exception of preoperative preparation of the medicines reducing an intrarenal blood-groove and the myotoxic effect and also rational infusional therapy with use of the balanced polyionic electrolyte crystalloids of prophylaxis of development of a hyperchloremic acidosis with renal dysfunction, monitoring of level of intraabdominal pressure the efficient prolonged epidural analgesia promotes early restitution of function of intestines and prevents development abdominal a syndrome compartment with renal damage. Maintaining patients from a position of the fast track surgery protocols due to early activization reduces risk of positional squeezing of a musculation with development of a rabdomiolisys and kidney injury.