Management of Cardiac Surgery in Hemodialysis Patients

Abstract

Modified perioperative management consisted of three components: renal replacement therapy, drainage tube management, and abdominal organ management was started in 2013 for hemodialysis (HD) patients undergoing cardiac surgery. A total of 100 consecutive HD patients undergoing cardiac surgery between January 2008 and September 2014 were divided into two groups (Group M: modified management, 35 patients vs. Group P: previous management, 65 patients) and the outcomes were compared. There was no hospital death in Group M, whereas 8 patients (12.3%) died in Group P (p=0.048). In terms of postoperative complications, the rate of reexploration for bleeding was significantly lower in Group M compared to Group P. In Group M, the lengths of intubation period (p=0.034) and hospital stay (p=0.025) were significantly shortened.