The Risk of Acute Kidney Injury From Fluid Restriction and Hydroxyethyl Starch in Thoracic Surgery

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(Abstracted from Anesth Analg, 122:186–193, 2016)

The perioperative restriction of fluids, to minimize the risk of acute lung injury, has given rise to an increased risk of acute kidney injury (AKI) in thoracic surgery patients. A further complicating matter is the administration of hydroxyethyl starch (HES) in such patients to help reduce fluid levels.

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