Acute kidney injury (AKI) remains a major cause of postoperative morbidity and patients with preoperative hypoalbuminemia may be at higher risk. In this issue of Anesthesiology, Lee and colleagues demonstrate that immediate preoperative administration of 20% albumin solution reduced the incidence of AKI after off-pump coronary artery bypass surgery.

  • Lee et al.: Effect of Exogenous Albumin on the Incidence of Postoperative Acute Kidney Injury in Patients Undergoing Off-pump Coronary Artery Bypass Surgery with a Preoperative Albumin Level of Less Than 4.0 g/dl, p. 1001

  • Jiang and Shaw: Albumin Supplementation as a Therapeutic Strategy in Cardiac Surgery: Useful Tool or Expensive Hobby?, p. 983