The VCSQI AKI Reduction Recommendations and Suggestions for Care is a comprehensive set of guidelines developed by the VCSQI AKI Workgroup to help reduce the risk of Acute Kidney Injury (AKI) in cardiac procedures. Originally released in January 2022 and revised in January 2023, the document provides actionable preoperative, intraoperative, and postoperative strategies for cardiology and surgical teams. Recommendations include managing nephrotoxic risks, optimizing fluid and contrast use, and closely monitoring kidney function—all aimed at improving patient outcomes.