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Table 3 Opinions of care providers about medications use after onset of AKI and the proportions of these medications prescribed within 24 hours of AKI, according to type of major surgery in Calgary, Alberta, between 2005-2012

From: Improving prevention, early recognition and management of acute kidney injury after major surgery: results of a planning meeting with multidisciplinary stakeholders

Survey % of Patients that were Prescribed Medication within one day of AKI onset, by surgery type
Questions Physicians that agreed, n (%)   Abdominal, %, (N = 941) Cardiac, %, (N = 1550) Retroperitoneal, %, (N = 302) Thoracic, %, (N = 87) Vascular, %, (N = 403)
Diuretics should be avoided in the absence of volume overload after the onset of AKI 19 (95) Diuretics 15 38 6 16 25
Patients with AKI should not receive NSAIDs after the onset of AKI 19 (95) NSAID 6 7 8 14 3
Patients with AKI should avoid ACEI and/or ARB drugs after the onset of AKI 12 (60) ACEI or ARB 5 18 3 6 18
Intravenous crystalloids should be used to optimize hemodynamic status and restore effective circulating volume and blood pressure in patients with AKI after major surgery 20 (100) IV Crystalloid 55 20 22 61 52
  1. Abbreviations: AKI acute kidney injury, NSAID non-steroidal anti-inflammatory drug, ACEI angiotensin converting enzyme inhibitor, ARB angiotensin receptor blocker.
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Canadian Journal of Kidney Health and Disease

ISSN: 2054-3581

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