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J R Soc Med. 1996; 89(Suppl 29): 13–15.
PMCID: PMC1295601

Acute renal failure in general surgery.


The high mortality and morbidity can be significantly reduced by three cardinal steps: 1. Early diagnosis of intrinsic renal failure 2. Early institution of fluid restriction and dialysis 3. The identification of patients who are likely to be at high risk from acute renal failure, and the careful planning and institution of available therapeutic measures to prevent it.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Wheeler DC, Feehally J, Walls J. High risk acute renal failure. Q J Med. 1986 Oct;61(234):977–984. [PubMed]
  • Urschel JD, Antkowiak JG, Takita H. Acute renal failure following pulmonary surgery. J Cardiovasc Surg (Torino) 1994 Jun;35(3):215–218. [PubMed]
  • Svensson LG, Coselli JS, Safi HJ, Hess KR, Crawford ES. Appraisal of adjuncts to prevent acute renal failure after surgery on the thoracic or thoracoabdominal aorta. J Vasc Surg. 1989 Sep;10(3):230–239. [PubMed]
  • Turney JH, Marshall DH, Brownjohn AM, Ellis CM, Parsons FM. The evolution of acute renal failure, 1956-1988. Q J Med. 1990 Jan;74(273):83–104. [PubMed]
  • Tran DD, Oe PL, de Fijter CW, van der Meulen J, Cuesta MA. Acute renal failure in patients with acute pancreatitis: prevalence, risk factors, and outcome. Nephrol Dial Transplant. 1993;8(10):1079–1084. [PubMed]
  • Leurs PB, Mulder AW, Fiers HA, Hoorntje SJ. Acute renal failure after cardiovascular surgery. Current concepts in pathophysiology, prevention and treatment. Eur Heart J. 1989 Dec;10 (Suppl H):38–42. [PubMed]
  • Wait RB, Kahng KU. Renal failure complicating obstructive jaundice. Am J Surg. 1989 Feb;157(2):256–263. [PubMed]
  • Thompson JN, Edwards WH, Winearls CG, Blenkharn JI, Benjamin IS, Blumgart LH. Renal impairment following biliary tract surgery. Br J Surg. 1987 Sep;74(9):843–847. [PubMed]

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