Pre-anesthesia evaluation in patients with chronic renal disease (emphasis on cardiovascular risk)

  • Víctor Hugo González Cárdenas MD, Anesthesiologist - Clinical Epidemiologist, Hospital Infantil Universitario de San José – FUCS Professor – Líder “Deorum Opus”, Hospital Universitario de la Samaritana – Clinical Professor, U. Sabana, Bogotá, Colombia
  • Juan Guillermo Vargas Internist - Nephrologist - Clinical Epidemiologist - Renal Unit, Hospital Militar Central - Fundación Abood Shaio, Bogotá, Colombia
  • Jorge Enrique Echeuerri Internist - Nephrologist, Medical Director of the Renal Unit, Hospital Militar Central, Critical Nephrology Coordinator, Hospital Universitario San Ignacio, Professor at Facultad de Medicina Universidad Militar Central and Universidad Javeriana, Bogotá, Colombia
  • Sandra M. Díaz MD, Anesthesiology postgraduate student, Universidad Militar Nueva Granada, Hospital Universitario Clínica San Rafael, Bogotá, Colombia
  • Yonny Mena Méndez MD, Anesthesiology postgraduate student, Universidad de la Sabana, Hospital Universitario de la Samaritana, Bogotá, Colombia
Keywords: Renal Insufficiency, Chronic, Kidney Failure Chronic, Mortality, Anesthesia, Perioperative Period


Chronic renal disease is a public health problem worldwide. Several times these patients will undergo surgical procedures related to dialysis or surgeries related to their co-morbidities. The purpose of the pre-anesthesia evaluation is to assess the risk of cardiovascular events and initiate interventions that may influence morbidity and mortality.

This article describes the relevant epidemiological data of chronic kidney disease and its cardiovascular risk and provides a guide on clinical assessment, diagnostic tools and strategies to reduce surgical risk. This narrative literature review is based on articles written in both English and Spanish limited to the last 10 years, information from basic textbooks and primary databases (i.e., PUBMED - EMBASE - LILACS), supported by articles referenced in the above-mentioned search.


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How to Cite
González Cárdenas VH, Vargas JG, Echeuerri JE, Díaz SM, Mena Méndez Y. Pre-anesthesia evaluation in patients with chronic renal disease (emphasis on cardiovascular risk). Colomb. J. Anesthesiol. [Internet]. 2013Apr.1 [cited 2021Jan.26];41(2):139-45. Available from:


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How to Cite
González Cárdenas VH, Vargas JG, Echeuerri JE, Díaz SM, Mena Méndez Y. Pre-anesthesia evaluation in patients with chronic renal disease (emphasis on cardiovascular risk). Colomb. J. Anesthesiol. [Internet]. 2013Apr.1 [cited 2021Jan.26];41(2):139-45. Available from:
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