Indian Journal of Endocrinology and Metabolism

REVIEW ARTICLE
Year
: 2012  |  Volume : 16  |  Issue : 2  |  Page : 252--257

Renal endocrine manifestations during polytrauma: A cause of concern for the anesthesiologist


Sukhminder Jit Singh Bajwa, Ashish Kulshrestha 
 Department of Anesthesiology and Intensive Care, Gian Sagar Medical College and Hospital, Ram Nagar, Banur, Punjab, India

Correspondence Address:
Sukhminder Jit Singh Bajwa
Department of Anesthesiology and Intensive Care, Gian Sagar Medical College and Hospital, Ram Nagar, Banur, Punjab
India

Nowadays, an increasing number of patients get admitted with polytrauma, mainly due to road traffic accidents. These polytrauma victims may exhibit associated renal injuries, in addition to bone injuries and injuries to other visceral organs. Nevertheless, even in cases of polytrauma, renal tissue is hyperfunctional as part of the normal protective responses of the body to external insults. Both polytrauma and renal injuries exhibit widespread renal, endocrine, and metabolic responses. The situation is very challenging for the attending anesthesiologist, as he is expected to contribute immensely, not only in the resuscitation of such patients, but if required, to allow the operative procedures in case of life-threatening injuries. During administration of anesthesia, care has to be taken, not only to maintain hemodynamic stability, but equal attention has to be paid to various renal protection strategies. At the same time, various renoendocrine manifestations have to be taken into account, so that a judicious use of anesthesia drugs can be made, to minimize the renal insults.


How to cite this article:
Bajwa SJ, Kulshrestha A. Renal endocrine manifestations during polytrauma: A cause of concern for the anesthesiologist.Indian J Endocr Metab 2012;16:252-257


How to cite this URL:
Bajwa SJ, Kulshrestha A. Renal endocrine manifestations during polytrauma: A cause of concern for the anesthesiologist. Indian J Endocr Metab [serial online] 2012 [cited 2020 Sep 25 ];16:252-257
Available from: http://www.ijem.in/article.asp?issn=2230-8210;year=2012;volume=16;issue=2;spage=252;epage=257;aulast=Bajwa;type=0