The Society of Thoracic Surgeons/Society of Cardiovascular Anesthesiologists/American Society of Extracorporeal Technology Clinical Practice Guidelines for the Prevention of Adult Cardiac Surgery-Associated Acute Kidney Injury

Jeremiah R. Brown; Linda Shore-Lesserson; Amanda A. Fox; Linda B. Mongero; Kevin W. Lobdell; Scott A. Lemaire; Filip M.J.J. De Somer; Moritz Wyler Von Ballmoos; Viachaslau Barodka; Rakesh C. Arora; Scott Firestone; Richard Solomon; Chirag R. Parikh; Kenneth G. Shann; John Hammon; Robert A. Baker

doi:10.1051/ject/202254267

The Society of Thoracic Surgeons/Society of Cardiovascular Anesthesiologists/American Society of Extracorporeal Technology Clinical Practice Guidelines for the Prevention of Adult Cardiac Surgery-Associated Acute Kidney Injury

Jeremiah R. Brown, Linda Shore-Lesserson, Amanda A. Fox, Linda B. Mongero, Kevin W. Lobdell, Scott A. Lemaire, Filip M.J.J. De Somer, Moritz Wyler Von Ballmoos, Viachaslau Barodka, Rakesh C. Arora, Scott Firestone, Richard Solomon, Chirag R. Parikh, Kenneth G. Shann, John Hammon, Robert A. Baker

College of Medicine and Public Health

Research output: Contribution to journal › Article › peer-review

6 Citations (Scopus)

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Abstract

Executive summary

1. In adult cardiac surgery with cardiopulmonary bypass (CPB), avoiding hyperthermic perfusion (.37C) is recommended to reduce the risk of cardiac surgeryassociated acute kidney injury (CSA-AKI). (Class of Recommendation: I, Level of Evidence: B-R)

2. In adult cardiac surgery with CPB, a goal-directed oxygen delivery strategy is recommended to reduce the risk of CSA-AKI. (Class of Recommendation: I, Level
of Evidence: B-R)

3. In adult cardiac surgery with CPB, it is reasonable to adopt the Kidney Disease Improving Global Outcomes (KDIGO) practice guidelines for patients at high risk of AKI to reduce the risk of CSA-AKI. (Class of Recommendation IIA; Level of Evidence B-R)

4. In adult cardiac surgery with CPB, fenoldopam may be reasonable to reduce the risk of CSA-AKI, as long as hypotension is avoided. (Class of Recommendation: IIB, Level of Evidence: B-R)

5. In adult cardiac surgery with CPB, it might be reasonable to use minimally invasive extracorporeal circulation (MiECC) techniques to reduce the risk of CSA-AKI. (Class of Recommendation: IIB, Level of Evidence: B-R)

6. In adult cardiac surgery with CPB, dopamine infusion alone, during CPB and the perioperative period, is not recommended to reduce the risk of CSA-AKI. (Class of Recommendation III: No Benefit, Level of Evidence: A)

7. In adult cardiac surgery with CPB, mannitol is not recommended to reduce the risk of CSA-AKI. (Class of Recommendation III: No Benefit, Level of Evidence: B-R)

Original language	English
Pages (from-to)	267-290
Number of pages	24
Journal	Journal of ExtraCorporeal Technology
Volume	54
Issue number	4
DOIs	https://doi.org/10.1051/ject/202254267
Publication status	Published - Dec 2022

Keywords

cardiac disease
comorbidities
kidney disease
guidelines

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10.1051/ject/202254267Licence: CC BY

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Brown, J. R., Shore-Lesserson, L., Fox, A. A., Mongero, L. B., Lobdell, K. W., Lemaire, S. A., De Somer, F. M. J. J., Von Ballmoos, M. W., Barodka, V., Arora, R. C., Firestone, S., Solomon, R., Parikh, C. R., Shann, K. G., Hammon, J., & Baker, R. A. (2022). The Society of Thoracic Surgeons/Society of Cardiovascular Anesthesiologists/American Society of Extracorporeal Technology Clinical Practice Guidelines for the Prevention of Adult Cardiac Surgery-Associated Acute Kidney Injury. Journal of ExtraCorporeal Technology, 54(4), 267-290. https://doi.org/10.1051/ject/202254267

Brown, Jeremiah R. ; Shore-Lesserson, Linda ; Fox, Amanda A. et al. / The Society of Thoracic Surgeons/Society of Cardiovascular Anesthesiologists/American Society of Extracorporeal Technology Clinical Practice Guidelines for the Prevention of Adult Cardiac Surgery-Associated Acute Kidney Injury. In: Journal of ExtraCorporeal Technology. 2022 ; Vol. 54, No. 4. pp. 267-290.

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title = "The Society of Thoracic Surgeons/Society of Cardiovascular Anesthesiologists/American Society of Extracorporeal Technology Clinical Practice Guidelines for the Prevention of Adult Cardiac Surgery-Associated Acute Kidney Injury",

abstract = "Executive summary1. In adult cardiac surgery with cardiopulmonary bypass (CPB), avoiding hyperthermic perfusion (.37C) is recommended to reduce the risk of cardiac surgeryassociated acute kidney injury (CSA-AKI). (Class of Recommendation: I, Level of Evidence: B-R)2. In adult cardiac surgery with CPB, a goal-directed oxygen delivery strategy is recommended to reduce the risk of CSA-AKI. (Class of Recommendation: I, Levelof Evidence: B-R)3. In adult cardiac surgery with CPB, it is reasonable to adopt the Kidney Disease Improving Global Outcomes (KDIGO) practice guidelines for patients at high risk of AKI to reduce the risk of CSA-AKI. (Class of Recommendation IIA; Level of Evidence B-R)4. In adult cardiac surgery with CPB, fenoldopam may be reasonable to reduce the risk of CSA-AKI, as long as hypotension is avoided. (Class of Recommendation: IIB, Level of Evidence: B-R)5. In adult cardiac surgery with CPB, it might be reasonable to use minimally invasive extracorporeal circulation (MiECC) techniques to reduce the risk of CSA-AKI. (Class of Recommendation: IIB, Level of Evidence: B-R)6. In adult cardiac surgery with CPB, dopamine infusion alone, during CPB and the perioperative period, is not recommended to reduce the risk of CSA-AKI. (Class of Recommendation III: No Benefit, Level of Evidence: A)7. In adult cardiac surgery with CPB, mannitol is not recommended to reduce the risk of CSA-AKI. (Class of Recommendation III: No Benefit, Level of Evidence: B-R)",

keywords = "cardiac disease, comorbidities, kidney disease, guidelines",

author = "Brown, {Jeremiah R.} and Linda Shore-Lesserson and Fox, {Amanda A.} and Mongero, {Linda B.} and Lobdell, {Kevin W.} and Lemaire, {Scott A.} and {De Somer}, {Filip M.J.J.} and {Von Ballmoos}, {Moritz Wyler} and Viachaslau Barodka and Arora, {Rakesh C.} and Scott Firestone and Richard Solomon and Parikh, {Chirag R.} and Shann, {Kenneth G.} and John Hammon and Baker, {Robert A.}",

year = "2022",

month = dec,

doi = "10.1051/ject/202254267",

language = "English",

volume = "54",

pages = "267--290",

journal = "Journal of ExtraCorporeal Technology",

issn = "0022-1058",

publisher = "EDP Sciences",

number = "4",

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Brown, JR, Shore-Lesserson, L, Fox, AA, Mongero, LB, Lobdell, KW, Lemaire, SA, De Somer, FMJJ, Von Ballmoos, MW, Barodka, V, Arora, RC, Firestone, S, Solomon, R, Parikh, CR, Shann, KG, Hammon, J & Baker, RA 2022, 'The Society of Thoracic Surgeons/Society of Cardiovascular Anesthesiologists/American Society of Extracorporeal Technology Clinical Practice Guidelines for the Prevention of Adult Cardiac Surgery-Associated Acute Kidney Injury', Journal of ExtraCorporeal Technology, vol. 54, no. 4, pp. 267-290. https://doi.org/10.1051/ject/202254267

The Society of Thoracic Surgeons/Society of Cardiovascular Anesthesiologists/American Society of Extracorporeal Technology Clinical Practice Guidelines for the Prevention of Adult Cardiac Surgery-Associated Acute Kidney Injury. / Brown, Jeremiah R.; Shore-Lesserson, Linda; Fox, Amanda A. et al.
In: Journal of ExtraCorporeal Technology, Vol. 54, No. 4, 12.2022, p. 267-290.

Research output: Contribution to journal › Article › peer-review

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AU - Brown, Jeremiah R.

AU - Shore-Lesserson, Linda

AU - Fox, Amanda A.

AU - Mongero, Linda B.

AU - Lobdell, Kevin W.

AU - Lemaire, Scott A.

AU - De Somer, Filip M.J.J.

AU - Von Ballmoos, Moritz Wyler

AU - Barodka, Viachaslau

AU - Arora, Rakesh C.

AU - Firestone, Scott

AU - Solomon, Richard

AU - Parikh, Chirag R.

AU - Shann, Kenneth G.

AU - Hammon, John

AU - Baker, Robert A.

PY - 2022/12

Y1 - 2022/12

N2 - Executive summary1. In adult cardiac surgery with cardiopulmonary bypass (CPB), avoiding hyperthermic perfusion (.37C) is recommended to reduce the risk of cardiac surgeryassociated acute kidney injury (CSA-AKI). (Class of Recommendation: I, Level of Evidence: B-R)2. In adult cardiac surgery with CPB, a goal-directed oxygen delivery strategy is recommended to reduce the risk of CSA-AKI. (Class of Recommendation: I, Levelof Evidence: B-R)3. In adult cardiac surgery with CPB, it is reasonable to adopt the Kidney Disease Improving Global Outcomes (KDIGO) practice guidelines for patients at high risk of AKI to reduce the risk of CSA-AKI. (Class of Recommendation IIA; Level of Evidence B-R)4. In adult cardiac surgery with CPB, fenoldopam may be reasonable to reduce the risk of CSA-AKI, as long as hypotension is avoided. (Class of Recommendation: IIB, Level of Evidence: B-R)5. In adult cardiac surgery with CPB, it might be reasonable to use minimally invasive extracorporeal circulation (MiECC) techniques to reduce the risk of CSA-AKI. (Class of Recommendation: IIB, Level of Evidence: B-R)6. In adult cardiac surgery with CPB, dopamine infusion alone, during CPB and the perioperative period, is not recommended to reduce the risk of CSA-AKI. (Class of Recommendation III: No Benefit, Level of Evidence: A)7. In adult cardiac surgery with CPB, mannitol is not recommended to reduce the risk of CSA-AKI. (Class of Recommendation III: No Benefit, Level of Evidence: B-R)

AB - Executive summary1. In adult cardiac surgery with cardiopulmonary bypass (CPB), avoiding hyperthermic perfusion (.37C) is recommended to reduce the risk of cardiac surgeryassociated acute kidney injury (CSA-AKI). (Class of Recommendation: I, Level of Evidence: B-R)2. In adult cardiac surgery with CPB, a goal-directed oxygen delivery strategy is recommended to reduce the risk of CSA-AKI. (Class of Recommendation: I, Levelof Evidence: B-R)3. In adult cardiac surgery with CPB, it is reasonable to adopt the Kidney Disease Improving Global Outcomes (KDIGO) practice guidelines for patients at high risk of AKI to reduce the risk of CSA-AKI. (Class of Recommendation IIA; Level of Evidence B-R)4. In adult cardiac surgery with CPB, fenoldopam may be reasonable to reduce the risk of CSA-AKI, as long as hypotension is avoided. (Class of Recommendation: IIB, Level of Evidence: B-R)5. In adult cardiac surgery with CPB, it might be reasonable to use minimally invasive extracorporeal circulation (MiECC) techniques to reduce the risk of CSA-AKI. (Class of Recommendation: IIB, Level of Evidence: B-R)6. In adult cardiac surgery with CPB, dopamine infusion alone, during CPB and the perioperative period, is not recommended to reduce the risk of CSA-AKI. (Class of Recommendation III: No Benefit, Level of Evidence: A)7. In adult cardiac surgery with CPB, mannitol is not recommended to reduce the risk of CSA-AKI. (Class of Recommendation III: No Benefit, Level of Evidence: B-R)

KW - cardiac disease

KW - comorbidities

KW - kidney disease

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Brown JR, Shore-Lesserson L, Fox AA, Mongero LB, Lobdell KW, Lemaire SA et al. The Society of Thoracic Surgeons/Society of Cardiovascular Anesthesiologists/American Society of Extracorporeal Technology Clinical Practice Guidelines for the Prevention of Adult Cardiac Surgery-Associated Acute Kidney Injury. Journal of ExtraCorporeal Technology. 2022 Dec;54(4):267-290. doi: 10.1051/ject/202254267

The Society of Thoracic Surgeons/Society of Cardiovascular Anesthesiologists/American Society of Extracorporeal Technology Clinical Practice Guidelines for the Prevention of Adult Cardiac Surgery-Associated Acute Kidney Injury

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