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KMID : 0356919940270070844
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Korean Journal of Anesthesiology
1994 Volume.27 No. 7 p.844 ~ p.849
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Anesthesia for Cesarean Section in Renal Transplant Recipients: Report of Two Cases of Epidural and General Anesthesia
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김원식
강성희/김경한/장태호/김세환
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Abstract
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The anesthetic management of the parturient with renal allograft depends on the degree of allograft impairment of antirejection drug with stress of labor and anesthesia must also be considered. If graft function is normal, the anesthetic
management
is
similar to that in normal pregnant patients. In patients with severe renal allograft compromise, large doses of bupivacaine should be avoided if an epidural block is contemplated.
We have experienced one case of general anesthesia with enflurane-nitrous oxide=oxygen and one case of epidural anesthesia with bupivacaine for cesarean section in renal transplanted parturients without any gross ill effects to the mothers and
newborns
perioperatively. The anesthesia was managed with prophylactic antibiotics therapy, urinary catheterization after antiseptic preparation, intravenous route with 18 gauge angiocath, steroid supplementation, protection from hypotension and avoidance
of
hyperglycemia.
This report shows either general or epidural anesthesia can be successfully performed in parturient with renal allograft if preparations are properly done.
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KEYWORD
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