Background: Chronic kidney disease (CKD) is associated with adverse perioperative outcomes, including mortality, with risk increasing with severity of CKD. (1) Long term dialysis is also associated with pneumonia, unplanned intubation, reoperation, and vascular complications. (2) Common preoperative practices for end stage renal disease (ESRD) patients include measuring day of surgery (DOS) potassium levels. Little [...]

Case Presentation: A 50-year-old female with a history of CKD5, cervical cancer, and severe PAD presented to the ED with 1 day of altered mental status and hypoxia. On arrival, she was found to be in septic shock with renal failure. She underwent emergent hemodialysis (HD) and was admitted to the ICU. Imaging was consistent [...]