TITLE

Sevoflurane Anaesthesia in a Patient with Renal Transplantation: Case Report and Literature Review

AUTHOR(S)
Eroglu, Ahmet; Erturk, Engin; Bostan, Habib; Trabzon Turkey
PUB. DATE
July 2007
SOURCE
Internet Journal of Anesthesiology;2007, Vol. 13 Issue 2, p17
SOURCE TYPE
Academic Journal
DOC. TYPE
Case Study
ABSTRACT
In this case report, we have presented our anaesthetic management in a patient undergoing urgent abdominal surgery who has undergone renal transplantation before, and has been in a chronic haemodialysis program two times a week. Anaesthesia was induced with sevoflurane in nitrous oxide-oxygen mixture via a mask and maintained with sevoflurane 1.5% in N2O:O2 (50%:50%). A bolus dose of atracurium 25 mg was administered intravenously and intubation was done. Standard monitoring consisted of an electrocardiogram, non-invasive arterial pressure and pulse oximetry. Serum creatinine, potassium, sodium and blood urea nitrogen levels and also creatinine clearance were measured preoperatively and in the first, second, third and seventh postoperative days. Surgical cholecystectomy was performed and the duration of anaesthesia was 60 minutes. We conclude that sevoflurane does not aggravate renal impairment in measured parameters (serum creatinine, blood urea nitrogen and creatinine clearense) of renal function and does not change the time for haemodialysis in the patient with renal insufficiency.
ACCESSION #
25939942

 

Related Articles

  • Non-operative Management of Gallbladder Perforation After Blunt Abdominal Trauma. Kumar, Rohan // Journal of Surgical Technique & Case Report;Jan-Jun2013, Vol. 5 Issue 1, p45 

    Isolated gallbladder perforations following blunt abdominal trauma are very rare. They often present with insidious onset of symptoms a few days after the initial insult and an operative course of management ensues. This is in the form of a cholecystectomy and peritoneal lavage; more often via...

  • Pitfall of bispectral index during intraoperative seizure. Hyungdong Kim; Sae Young Kim // Korean Journal of Anesthesiology;Nov2013, Vol. 65 Issue 5, p449 

    We report a case of a 42-year-old male who developed generalized tonic-clonic seizure with sudden, brief decrease in bispectral index (BIS) value while undergoing emergency kidney transplantation. Few reports have been made on intraoperative pitfall of BIS value associated with seizure. This...

  • Colonic Perforation by a Dormant Peritoneal Dialysis Catheter Post Renal Transplantation. Trivedi, Hemali; Tan, Henkie P.; Morgan, Claire; Shapiro, Ron; Basu, Amit // American Surgeon;Aug2010, Vol. 76 Issue 8, p908 

    The article focuses on the pathological aspects of colonic perforation. It mentions that colonic perforation is considered as the most common complication of leaving peritoneal dialysis (PD) catheter in place after an immediate posttransplant period. It cites a case study of a 31-year-old man...

  • Visualizing BK virus nephropathy. Tourret, Jérôme; Mercadal, Lucile; Penna, Raphaële Renard; Brochériou, Isabelle; Barrou, Benoit // Nephrology Dialysis Transplantation;Apr2010, Vol. 3 Issue 2, p185 

    The article presents a case study of a 55-year-old man who underwent a kidney transplantation in June 2008 and was pronounced with lymphocytic interstitial infiltrates after the biopsy due to the deterioration of kidney function.

  • Gastrosquisis: reducción en la sala de operación y su manejo anestésico. Caso clínico. López-Castruita, Víctor; Suárez-Ocampo, Istmari; Aquino-Tamayo, Blanca // Revista Mexicana de Anestesiologia;ene-mar2014, Vol. 37 Issue 1, p41 

    We present the case of a 26-year-old woman with a 34-week pregnancy in whom cesarean is projected, the newborn diagnosis was gastroschisis. Reduction of the abdominal defect was made in the operating room by Simil-Exit technique; maternal anesthetic management was performed under epidural...

  • Peritoneal Dialysis in Microencephaly. Peters, April // Nephrology Nursing Journal;Nov/Dec2008, Vol. 35 Issue 6, p588 

    The article describes the case of a 36-year-old woman with microencephaly and end stage renal disease (ESRD) presented to a dialysis unit. Medical history of the patient and her family is noted. Parents of the patient refused a transplant evaluation for their daughter and decided on peritoneal...

  • PRZEWLEKŁA DIALIZOTERAPIA U DZIECI - LECZENIE OSTATNIEJ SZANSY CZY TERAPIA DAREMNA - OPIS PRZYPADKU. Jander, Anna; Tkaczyk, Marcin // Przeglad Pediatryczny;2012, Vol. 42 Issue 4, p221 

    Recent developments in renal replacement therapy have substantially increased treatment options in children with chronic renal failure. Some of them have severe, congenital and acquired dysfunction and malformation of the central nervous system and they are completely dependent from their...

  • A rare cause of chylous ascites. Chen, Yi-Ting; Chen, Yung-Ming // Clinical Kidney Journal;Feb2014, Vol. 7 Issue 1, p71 

    We report a patient with end-stage renal disease status after two renal transplantations. Milky-like ascites was noted since the immunosuppressant agent was switched to sirolimus (1 mg/day). Chylous ascites was diagnosed owing to the triglyceride of dialysate to serum being 15.98:15.99. Series...

  • Dual Kidney Transplantation: Case Report.  // Collegium Antropologicum;Jun2010, Vol. 34 Issue 2, p697 

    No abstract available.

Share

Read the Article

Other Topics