Study limitations:
This study has several limitations- The sample size was small. The study was retrospective which precluded further standardization of design. The study was unable to identify the perioperative risk factors that predispose to the development of RML in aortic dissection surgery given its small sample size.
Definitions and abbreviations
ASA -American Society of Anesthesiologists
AAD-Ascending Aortic Dissection
ARF- Acute Renal Failure
AKI-Acute Kidney Injury- a 0.3 mg/dl (≥26.5 µmol/l) Serum Creatinine increase from baseline within 48 hours of surgery, a 1.5 times Serum Creatinine increase from baseline within 7 days of surgery
CVVHD- Continuous Veno Venous Hemodialysis
CK – Creatine Kinase
RML- Rhabdomyolysis – A fivefold elevation of serum CK levels above baseline ( > 2500 U/L) 1,3, 4