Summary of best evidences for perioperative hydration in prevention of contrast-induced acute kidney injury in patients undergoing coronary intervention
10.3760/cma.j.cn115682-20201125-06393
- VernacularTitle:冠状动脉介入患者围手术期水化预防对比剂急性肾损伤的最佳证据总结
- Author:
Peixia CHENG
1
;
Xiuyan SONG
;
Suhua YAN
;
Shiqiao CHEN
Author Information
1. 山东第一医科大学附属省立医院CCU，济南 250021
- Keywords:
Perioperative nursing;
Coronary intervention;
Hydration;
Contrast-induced acute kidney injury;
Evidence summary
- From:
Chinese Journal of Modern Nursing
2021;27(19):2556-2562
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To search and summarize the relevant evidences for perioperative hydration in prevention of contrast-induced acute kidney injury (CIAKI) in patients undergoing coronary intervention, and to provide evidence-based basis for clinical nursing staff to develop personalized perioperative hydration plan and prevent CIAKI.Methods:Evidence-based nursing was used to search evidences for perioperative hydration in prevention of CIAKI in patients undergoing coronary intervention in UpToDate, National Guideline Clearing-house (NGC) , European Society of Cardiology (ESC) , JBI Evidence Summary Database, Cochrane Database, PubMed, Wanfang Database, China National Knowledge Infrastructure (CNKI) and China Biomedical Literature Database (CBM) , including evidence summary, guidelines, expert consensus and systematic reviews. The search time was from the establishment of the database to February 2019. Two researchers evaluated the quality of included literatures and extracted evidence from literatures that met the quality standards.Results:A total of 9 articles of evidence were included, including 1 evidence summary, 3 guidelines, 3 expert consensus and 2 systematic evaluations. Finally, a total of 10 pieces of evidence from 5 aspects, including CIAKI risk assessment, hydration fluid type, hydration path and timing, hydration rate and urine volume monitoring, were summarized.Conclusions:This study summarizes the best evidence for perioperative hydration in prevention of CIAKI in patients undergoing coronary intervention and provides an evidence-based basis for clinical medical staff.
