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...

  • Should peritoneal dialysis catheters be removed at the time of kidney transplantation? Warren, Jeff; Jones, Emily; Sener, Alp; Drage, Martin; Taqi, Ali; Griffin, Sian; Watson, Christopher; Luke, Patrick P. W. // Canadian Urological Association Journal;Oct2012, Vol. 6 Issue 5, p376 

    Delayed graft function (DGF) following transplantation necessitates support in the form of hemodialyis (HD) or peritoneal dialysis (PD). However, post-transplant PD-related complication and failure rates are unknown. We studies patients who were on PD at the time of kidney transplantation over a...

  • Spontaneous Intraperitoneal Perforation of the Bladder Secondary to Tuberculosis. Sallami, Sataa; Gargouri, Mohamed M.; Tayeb, Mourad; Slima, Mohamed Ben; Makhlouf, Mounir // UroToday International Journal;2010, Vol. 3 Issue 5, p1 

    Spontaneous perforation of the bladder is a rare clinical condition that should be suspected in patients with acute abdomen and a history of tuberculosis. The present case is a 43-year-old male with a history of pulmonary tuberculosis and repeated urinary infections. Based on his presenting...

  • Spirit-induced cautery burns: An unusual iatrogenic injury. Marwah, Sanjay; Singla, Sham Lal // Internet Journal of Surgery;2010, Vol. 22 Issue 2, p1 

    Electrocautery is routinely used in all operative procedures for achieving hemostasis. At the same time, use of alcohol-based antiseptics like spirit is strongly recommended these days for skin preparation before surgery. However, there is a potential risk of igniting a flame with the use of...

  • Thoracic Epidural Anesthesia Combined with Remifentanil-Propofol without Muscle Relaxants in A Myasthenic Patient for Abdominal Surgery. Uzunlar, Halil I. // Internet Journal of Anesthesiology;2005, Vol. 9 Issue 1, p12 

    The present case describes the perioperative anesthetic management of a myasthenic patient undergoing thoracic epidural anesthesia using 10 mL of bupivacaine 0.5% combined with the infusions of propofol and remifentanil for abdominal surgery. This anesthetic technique provided good...

  • Anaesthetic Considerations in a Patient with Deep Vein Thrombosis on Warfarin for Emergency Surgery - A Case Report. Bansal, Teena; Jaiswal, Rajmala; Hooda, Sarla // Indian Anaesthetists' Forum;Sep2013, Vol. 14 Issue 11, p1 

    Anaesthesiologists very often face the challenging task of providing anaesthesia to patients on oral anticoagulant therapy, for elective and emergency surgeries. Rapid reversal of anticoagulation for emergency surgery can be achieved by replacement of coagulation factors with fresh frozen plasma...

  • 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...

  • A Rare Case of Caecal Volvulus presenting during pregnancy.  // Pravara Medical Review;Mar2011, Vol. 6 Issue 1, p27 

    The article presents a case study of a pregnant woman in her second trimester suffering with caecal volvulus due to fibrotic band and extremely moribund condition. The woman was looking extremely sick and her abdomen was very tender and distended upto xiphisternum with dilated veins. The patient...

  • 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.

Share

Read the Article

Other Topics