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KMID : 0387519940040010137
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Journal of Maryknoll Hospital
1994 Volume.4 No. 1 p.137 ~ p.144
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Anesthetic Management of Renal Transplantation
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전순희
이용균/김영생/조성두/송남원
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Abstract
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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. @ES Our anesthesia
procedures
in
the recipients were as follows:
@EN 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 10cmH2O.
Most patients with renal failure have poor risk due to such factor as hypertension, anemia, hyperkalemia, acidosis, bleeding tendency, and hyper or hypovolemia, although these factors may be controlled to a great extent by dialysis. Therefore
every
anesthesiologist should keep in mind the risk factors for anesthetic management of patient in renal failure.
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KEYWORD
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