Investigation of the current situation regarding the implementation of hydration and renal function monitoring during perioperative period of peripheral vascular interventions
10.3969/j.issn.1008-794X.2025.01.015
- VernacularTitle:周围血管疾病介入围手术期水化实施和肾功能监测调查分析
- Author:
Jiali LIU
1
;
Liping LIU
;
Hua ZHU
Author Information
1. 400016 重庆 重庆医科大学附属第一医院血管外科
- Keywords:
peripheral vascular disease;
interventional surgery;
contrast-induced nephropathy;
hydration;
renal function monitoring;
current status survey
- From:
Journal of Interventional Radiology
2025;34(1):91-95
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate and analyze the current situation regarding the implementation of hydration and renal function monitoring during perioperative period of peripheral vascular interventions,so as to provide references for effectively preventing contrast-induced nephropathy(CIN).Methods Through literature review,expert interview,and research group discussion,a survey questionnaire was designed.Using the"Wenjuanxing"platform,an investigation of the current situation about the implementation of hydration and renal function monitoring during perioperative period of peripheral vascular interventions was conducted among the medical staff of 141 hospitals in 27 provinces(autonomous regions/municipalities)from May to June of 2023.Results A total of 325 professionals participated in the survey,84.92％of whom(276/325)implemented hydration.A total of 265 medical workers gave feedback on intravenous hydration status:90.57％of them(240/265)adopted 0.9％sodium chloride solution,and the median volumes of infusion before,during and after surgery were all 1 000 mL.A total of 239 medical workers gave feedback on oral hydration status:56.07％of them(134/239)adopted quantitative drinking water mode,the amount of drinking water varied from a minimum of 500 mL to a maximum of 2 000 mL,which was given before surgery as well as within 6 hours after surgery.In addition,10.15％(33/325)of the respondents did not monitor creatinine levels,and 26.77％(87/325)of the respondents did not monitor urine volume.Conclusion At present,there is no unified hydration scheme during perioperative period of peripheral vascular interventions,and the monitoring of renal function is inadequate.It is necessary for medical staff to learn the knowledge of CIN prevention.At the same time,hydration strategies that are safe,effective,comfortable for patients and that can reduce the clinical workload of medical workers need to be further explored.
