|
KMID : 0356919930260051070
|
|
Korean Journal of Anesthesiology
1993 Volume.26 No. 5 p.1070 ~ p.1077
|
|
|
Anesthetic Management of Renal transplantation
|
|
전순희
이용균/김영생/조성두/송남원
|
|
|
Abstract
|
|
|
Fifty-one operations for transplant of a kidney have been performed in the period 1990-1993 at Maryknoll hospital. We have analysed the case records with special reference to the techniques and problems of anesthesia. Our anesthesia procedures in
the
recipients were as follows:
1) Preanesthetic preparation with dialysis.
2) Premedication with glycopyrrolate and fentanyl.
3) Thiopental and succinylcholine for anesthetic induction.
4) N2O-O2-relaxant (vecuronium) with halothane or enflurane for maintenance.
5) Antagonism against the relaxant with neostigmine or pyridostigmine.
6) Transfusion and fluid infusion with CVP was maintained around 10 cmH2O.
Most patients with renal failure are poor risk due to such factor as hypertension, anemia, hyperkalemia, acidosis, bleeding tendency, and hyper- or hypovolemia, although these factors may be controlled to aa great extent by dialysis. Therefore
anesthesiologist should keep in mind the risk factors for anesthetic management of patient in renal failure.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
   
|