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KMID : 0980220030030020098
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Journal of the Korean Dental Society of Anesthesiology
2003 Volume.3 No. 2 p.98 ~ p.102
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Anesthetic Management of the Oral and Maxillofacial Surgery in a Patient with End-Stage Renal Disease
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Park Chang-Joo
Park Jong-Chul
Lee Won-Deok
Myoung Hoon
Lee Jong-Ho
Kim Myung-Jin
Kim Hyun-Jeong
Yeom Kwang-Won
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Abstract
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Patients in end-stage renal disease (ESRD) and chronic renal failure present a number of challenges to the anesthesiologist, They may be chronically ill and debilitated and have the potential for multiorgan dysfunction. A 65-year-old male patient with ESRD was scheduled for oral cancer surgery under general anesthesia. He was in regular hemodialysis three time a week and secondary hypertension with left ventricular hypertrophy was accompantied He also had chronic metabolic acidosis and hyperkalemia. The day after hemodialysts, general anesthesia was carried out. Uneventful anesthetic induction using thiopental and vecuronium and nasotracheal intubation were carries out. General anesthesia was maintained with isoflurane for 9 horse. During the anesthesia, he did not have any problem but persistently increasing serum potassium level. After anesthetic emergence, he was transferred to intensive care unit for mechanical ventilation.
So we report this successful case of anesthetic management in a patient with ESRD for oral cancer surgery, which massive bleeding and long anesthetic time were inevitable in, from the preoperative preparation to anesthetic emergence.
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KEYWORD
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Anesthesia, General, Kidney failure, Chronic, Cancer, Oral
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