Hypotension Duration and postoperative AKI


kidneys web graphicAcute kidney injury (AKI) is a common event following cardiac surgery. This retrospective study presents compelling data that shows that the duration and degree of hypotension is a strong predictor for the degree of kidney injury that occurs during cardiac surgery.

Dr Hiliary Grocott, editor of the Canadian Journal of Anesthesia, called the study "conclusive evidence."

Acute Kidney Injury and Cardiac Surgery 

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Master of Medicine First Graduates!

Master of Medicine First Graduates!

Master of Medicine First Graduates!

After the launch of the Master of Medicine (Perioperative Medicine) in 2013 we are pleased to announcement our first group of graduates in December 2014. Three students graduated with one, Dr Mathonsi Jila, attending the graduation ceremony at the Robert Blackwood Hall on the Clayton Campus on 15th December 2014 (pictured). The course has attracted over 188 students since its commencement with interest growing daily. Congratulations to all our students past and present!

Dual antiplatelets and cardiac stents - time for a re-think?

Dual antiplatelets and cardiac stents - time for a re-think?

This novel study from the NEJM investigates the outcome of dual antiplatelet therapy and in-stent thrombosis

Traditional guidelines have suggested that dual antiplatelets should continue for 12 months when a cardiac drug eluting stent has been placed. This New England Journal of Medicine study evaluates the outcomes of nearly 10,000 patients with drug eluting stents in situ. The study suggests a lowered rate of in-stent thrombosis if dual antiplatelets are continued after 12 months.

Choosing Wisely - Anaesthesia

Choosing Wisely - Anaesthesia

Unnecessary health spending in the United States was estimated at $765 billion in 2009, one-quarter—$210 billion—of which was for the overuse of services, including those that are provided more frequently than necessary or that cost more but are no more beneficial than lower-cost alternatives.

The American Board of Internal Medicine (ABIM) aims to investigate this, and have reviewed the likelihood of preoperative testing leading to interventions that change management. A must read for all staff in the field of anaesthesia.

Introducing Cure & Care - Perioperative Medicine

Introducing Cure & Care - Perioperative Medicine

Cure and Care is an educational initiative that is open access source of information intended to provide educational materials to clinicians from multiple disciplines involved in perioperative care.

More information can be found from visiting the Cure & Care - Perioperative medicine portal

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