Elective Surgery and Decreased GFR

I routinely see patients with GFRs less than 60 in the preop holding area. These patients are typically elderly but asymptomatic for both renal and Cardiovascular disease. Some are having moderate to major surgery. Our current approach is to proceed with the case if their mets are over 4 and they asymptomatic. Recent evidence strongly suggests a deceased GFR is associated with higher postop morbidty and mortality.... Elective Surgery and Decreased GFR
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Source Type: forums