INTRAOPERATIVE HYPOTENSION AND ACUTE KIDNEY INJURY AFTER ROBOTIC ENHANCED RECOVERY PROTOCOL SURGERY

Acute kidney injury (AKI) has been linked to intraoperative hypotension in previous studies. AKI may lead to prolonged recovery and hospital stays and complications such as chronic kidney disease. Factors associated with robotic surgery and enhanced recovery protocols (ERPs) may contribute to intraoperative hypotension. This quality improvement project aimed to explore the occurrence of AKI in robotic cases incorporating an ERP. The project design was a retrospective review of anesthesia records of robotic surgeries performed at Atrium Health (AH) Carolinas Medical Center (CMC) over a four-month period. Records were screened for the occurrence of hypotension. The charts of patients who experienced hypotension were then screened for a pre-operative and post-operative creatinine level. AKI was defined using the Kidney Disease Improving Guidelines (KDIGO). The sample size included 34 patients who experienced hypotension. The incidence of AKI was 5.88%. AKI did not differ by age, gender, ASA score, or procedure time.