Search our Database of Scientific Publications and Authors

I’m looking for a

    24 results match your criteria Perioperative Management of the Patient With Chronic Renal Failure

    1 OF 1

    Risk factors and outcomes associated with a higher use of inotropes in kidney transplant recipients.
    Medicine (Baltimore) 2017 Jan;96(1):e5820
    Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
    Preservation of adequate perfusion pressures to the graft is a main focus of intraoperative management during kidney transplantation. We undertook this study to investigate the incidence of the higher use of inotropes in kidney transplant recipients and identify the patient outcomes and preoperative and intraoperative variables related to this.We retrospectively analyzed 1053 patients who underwent kidney transplantation at Asan Medical Center between January 2006 and February 2012, stratified by their inotropic score ([dopamine] + [dobutamine] + [epinephrine × 100] + [norepinephrine × 100]) <7 versus ≥7, wherein all doses are expressed as μg/kg/min. Read More

    Anesthesia for the Patient with Concomitant Hepatic and Renal Impairment.
    Anesthesiol Clin 2016 Dec;34(4):645-658
    Department of Anesthesiology, College of Physicians and Surgeons, Columbia University, 622 West 168th Street-PH 5, New York, NY 10032, USA.
    Hepatic and renal disease are common comorbidities in patients presenting for intermediate- and high-risk surgery. With the evolution of perioperative medicine, anesthesiologists are encountering more patients who have significant hepatic and renal disease, both acute and chronic in nature. It is important that anesthesiologists have an in-depth understanding of the physiologic derangements seen with hepatic and renal disease to evaluate and manage these patients appropriately. Read More

    Is Perioperative Fluid and Salt Balance a Contributing Factor in Postoperative Worsening of Obstructive Sleep Apnea?
    Anesth Analg 2016 May;122(5):1335-9
    From the Department of Anesthesiology, Toronto Western Hospital, University Health Network, University of Toronto, Toronto, Ontario, Canada.
    An understanding of the potential mechanisms underlying recurrent upper airway collapse may help anesthesiologists better manage patients in the postoperative period. There is convincing evidence in the sleep medicine literature to suggest that a positive fluid and salt balance can worsen upper airway collapse in patients with obstructive sleep apnea through the redistribution of fluid from the legs into the neck and upper airway while supine, in a process known as "rostral fluid shift." According to this theory, during the day the volume from a fluid bolus or from fluid overload states (i. Read More

    Patient with chronic renal failure undergoing surgery.
    Curr Opin Anaesthesiol 2016 Jun;29(3):413-20
    Department of Anesthesiology, Intensive Care and Pain Medicine, University of Muenster, Muenster, Germany.
    Purpose Of Review: Chronic kidney disease (CKD) is an increasing health problem worldwide and is associated with a number of clinical challenges. In this paper, we review recent studies that deal with strategies for the management of patients with CKD undergoing surgery.

    Recent Findings: Effective strategies for nephroprotection are crucial for the handling of patients with CKD in the perioperative setting to prevent complications and to avoid the progression of CKD. Read More

    When is an invasive palliative intervention in an acute internal medical patient worth it? A structured palliative approach.
    Wien Med Wochenschr 2015 Dec 30;165(23-24):467-71. Epub 2015 Nov 30.
    Oncological Palliative Medicine, Cantonal Hospital Sankt Gallen, Sankt Gallen, Switzerland.
    A 67-year-old patient with coronary artery disease (CAD), diabetes, and chronic obstructive pulmonary disease (COPD) was scheduled for coronary artery bypass graft (CABG) surgery after a recent myocardial infarction despite a high perioperative risk of death. While waiting, acute renal failure developed, and the patient was admitted to the intensive care unit (ICU). After the patient and his wife were informed that CABG surgery was no longer possible, he declined further intensive care treatment and subsequently died peacefully. Read More

    Cardiac risk stratification in patients undergoing endovascular aortic repair.
    Minerva Cardioangiol 2016 Apr 16;64(2):195-203. Epub 2015 Oct 16.
    Division of Vascular Surgery, University of Siena, Siena, Italy -
    Endovascular aortic repair (EVAR) for abdominal aortic aneurysms (AAA) is the preferred first treatment option in case of patients with advanced age and/or fit anatomy owing to shorter length of in hospital staying, less complications or laparotomy-related re-interventions, and lower initial costs. Although it is a less-invasive intervention, EVAR entails a risk similar to that of open aortic procedures for medical comorbidities, and a perioperative clinical evaluation is mandatory to minimize the early and late cardiovascular risk. In this brief review the determinants of cardiac risk (functional capacity, cardiac evaluation, non-invasive tests, bio markers and "specialist" cardiac tests) as well the most widely used predictive risk scores were analyzed. Read More

    Acute Renal and Hepatic Failure in an Adolescent: An Unusual Presentation of Multiple Aortic Aneurysms.
    Pediatr Emerg Care 2015 Sep;31(9):649-51
    From the *Department of Anesthesiology and Critical Care Medicine, Division of Pediatric Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, MD; †Divisions of Critical Care Medicine and Anesthesiology and Perioperative Medicine, Children's National Medical Center, Washington, DC; and ‡Department of Anesthesiology and Critical Care Medicine & Pediatrics, Division of Pediatric Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, MD.
    Aortic dissection secondary to thoracoabdominal aortic aneurysms is very uncommon in children, and this life-threatening diagnosis requires a high clinical index of suspicion. Unlike adults, in whom atherosclerosis, inflammation, and advanced age are typically contributing factors, aortic dissection in children is usually due to nonatherosclerotic causes.Aortic aneurysms can be asymptomatic when small but, when significantly enlarged, can compromise organ function and dissect, resulting in high mortality rates. Read More

    Modified laparoscopic technique for fixation of peritoneal dialysis catheter.
    Surg Laparosc Endosc Percutan Tech 2014 Aug;24(4):e146-50
    *Department of Surgery, Division of General Surgery, Min-Sheng General Hospital, Taoyuan †Department of Surgery, Division of General Surgery, Mackay Memorial Hospital, Taipei, Taiwan ‡Taiwan Mackay Medicine, Nursing and Management College, Taipei, Taiwan, ROC.
    Background: Continuous ambulatory peritoneal dialysis (CAPD) is a treatment for patients with end-stage renal disease (ESRD). Peritoneal dialysis catheters are usually placed using a small laparotomy. This traditional technique is usually safe if well executed, but it cannot be safely performed if the patient has had a previous abdominal operation. Read More

    [Bilateral transversus abdominis plane block using catheterization for a patient with severe cardiac dysfunction and chronic kidney failure: a case report].
    Masui 2013 Mar;62(3):322-5
    Department of Anesthesiology, Rinku General Medical Center, Izumisano 598-8577.
    The transversus abdominis plane (TAP) block is a newly described technique introducing a local anesthetic agent between the internal oblique and the transversus abdominis muscles of the abdominal wall, which is safer and more reliable analgesia in recent years by ultrasound technique. We report the perioperative management of transversus abdominis plane block with catheterization for a patient with severe cardiac dysfunction and chronic kidney failure, who underwent bilateral inguinal hernioplasty. A bilateral TAP block was first performed with 0. Read More

    Perioperative management of the hemodialysis patient.
    Semin Dial 2011 May-Jun;24(3):314-26. Epub 2011 Mar 25.
    Department of Anaesthetics and Intensive Care Medicine, Craigavon Area Hospital, Portadown, United Kingdom.
    Dialysis-dependent chronic kidney disease (CKD) is an expanding problem for healthcare systems worldwide. The prevalence of end-stage renal disease (ESRD) has increased by 20% since 2000 and stands at 1699 per million people in the USA. ESRD is associated with an increased risk of cardiovascular comorbidity, increased severity of cardiovascular disease, and an adjusted all-cause mortality rate that is 6. Read More

    Epidemiology and management of surgical upper limb infections in patients with end-stage renal failure.
    Ann Acad Med Singapore 2010 Sep;39(9):670-5
    Department of General Surgery, Tan Tock Seng Hospital, Singapore.
    Introduction: Hand infections in patients with end-stage renal failure (ESRF) are more diffi cult to treat and have had the worse outcomes. This paper examines the epidemiology, bacteriology and outcomes of surgically managed upper limb infections in these vulnerable patients.

    Materials And Methods: All patients from a single centre with surgically-managed upper limb infections between 2001 and 2007 were reviewed. Read More

    [The perioperative management for pheochromocytoma resection in a patient with chronic renal failure requiring long-term hemodialysis].
    Masui 2010 Aug;59(8):1021-4
    Department of Anesthesiology and Resuscitology, Okayama University Hospital, Okayama 700-8558.
    We report the perioperative management of a 55-year-old man with chronic renal failure requiring long-term hemodialysis, who underwent laparoscopic adrenalectomy for pheochromocytoma. He was pretreated with doxazosin, a calcium channel blocker and a beta-adrenoceptor antagonist to control blood pressure until surgery. His dry weight increased slowly from 57 kg to 58. Read More

    Neuraxial anesthesia and intraoperative bilevel positive airway pressure in a patient with severe chronic obstructive pulmonary disease and obstructive sleep apnea undergoing elective sigmoid resection.
    Reg Anesth Pain Med 2009 Jan-Feb;34(1):69-71
    Department of Anaesthesia and daggerSurgery, Royal Victoria Hospital, McGill University Health Centre, Montreal, Quebec, Canada.
    Objective: This case report describes the anesthetic management of a patient with severe chronic obstructive pulmonary disease (COPD) and obstructive sleep apnea (OSA) who underwent elective sigmoid resection under combined spinal-epidural anesthesia and bilevel positive airway pressure (BiPAP).

    Case Report: A 63-year-old man with diverticular disease presented for a sigmoid resection. His medical history included coronary artery bypass grafting, diabetes mellitus, gastroesophageal reflux, chronic renal failure, COPD, a paralyzed left hemidiaphragm, and OSA treated with nighttime BiPAP and oxygen. Read More

    Perioperative management of patients with renal disease.
    Oral Maxillofac Surg Clin North Am 2006 May;18(2):203-12, vi
    Department of Oral and Maxillofacial Surgery, Hospital of University of Pennsylvania, 3400 Spruce Street, 5 White, Philadelphia, PA 19104, USA.
    The patient who has renal disease is susceptible to many potential complications during the perioperative period. The prevention of postoperative acute renal failure (ARF), especially in patients who have existing chronic kidney disease, and management of patients who have end-stage renal disease (ESRD) who are undergoing surgery are challenging. Elimination of risk factors for ARF and early diagnosis of ARF should improve patient outcomes. Read More

    Intensive care of the patient following open abdominal aortic surgery.
    Curr Opin Crit Care 2006 Aug;12(4):340-5
    Department of Critical Care Medicine, University of Toronto, St. Michael's Hospital, Ontario, Canada.
    Purpose Of Review: Abdominal aortic aneurysms still require open repair despite the advances that endovascular aneurysm repair has made in treating patients with significant operative risk. Older patients with significant comorbidities require open repair of their complex aneurysms when they fail to meet anatomic criteria for endovascular aneurysm repair. This review discusses the physiologic insult of abdominal aortic surgery. Read More

    Principles of anaesthesia in urological surgery.
    BJU Int 2005 Aug;96(2):223-9
    Department of Anaesthesia, Hammersmith Hospital, London, UK.
    Anaesthesia for urological surgery poses particular challenges for the anaesthetist related to the patient population and procedure type. The aim of this article is to cover the general principles of anaesthesia, with dedicated sections relevant to practising urological surgeons. This represents vast amounts of knowledge that cannot be covered in one article. Read More

    [Anesthesia in Mckusick-Kaufman syndrome patient: case report.].
    Rev Bras Anestesiol 2004 Dec;54(6):799-801
    CET/SBA, Hospital Felício Rocho.
    Background And Objectives: Mckusick-Kaufman syndrome is an uncommon disease, typically characterized by hydrometrocolpos, polydactyly and congenital heart defects. These patients are often submitted to different surgical procedures throughout their lives and the anesthesiologist must be prepared to deal with possible complications. This article aimed at reporting the anesthetic management adopted for a patient with this syndrome. Read More

    [Lobectomy for lung cancer in an elderly man on maintenance hemodialysis].
    Kyobu Geka 2004 Nov;57(12):1094-8
    Department of Thoracic-Cardiovascular Surgery, Ehime Rosai General Hospital, Niihama, Japan.
    An 82-year-old man who had been undergoing hemodialysis for chronic renal failure, 3 times a week for the last 3 years, was admitted to our hospital for the treatment of lung cancer. Under careful perioperative management, we successfully performed a lobectomy. Histological examination revealed well differentiated squamous cell carcinoma and the postoperative staging was pT1N0M0. Read More

    [Combined liver-kidney transplantation in a senior patient].
    Di Yi Jun Yi Da Xue Xue Bao 2003 Sep;23(9):972-4
    Department of Renal Transplantation, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China.
    Objective: To study the surgical techniques, perioperative management, management of infections and graft rejection in patients with combined liver-kidney transplantation (CLKT).

    Methods: CLKT was performed in a 66-year-old patient with alcoholic liver cirrhosis and uremia. Lavage in situ with University of Wisconsin (UW) solution of the donor organs and en hoc resection was performed. Read More

    Laparoscopic management and clinical outcome of emphysematous cholecystitis.
    Surg Endosc 2001 Oct;15(10):1217-20
    Department of Minimally Invasive Surgery, Cleveland Clinic Foundation, 9500 Euclid Avenue, Desk A80, Cleveland, OH 44195, USA.
    Background: As opposed to acute, chronic, and acalculus cholecystitis, emphysematous cholecystitis (EC) is associated with significant morbidity and mortality. Only a few studies have specifically reviewed the operative management and clinical outcome of EC. This study documents the operative management and clinical outcome of EC at the Cleveland Clinic Foundation. Read More

    Perioperative management of central diabetes insipidus in kidney transplantation.
    Pediatr Nephrol 2001 Apr;16(4):315-7
    Children's Hospital, Hannover Medical School, 30623 Hannover, Germany.
    Central diabetes insipidus is clinically masked in dialysis patients. We report a 12-year-old girl receiving a living-related donor graft for renal failure from Alport syndrome, in whom a craniopharyngioma had been resected 6 months before transplantation. Pretransplant evaluation had documented central hypothyroidism, growth hormone deficiency, and presumptive hypogonadotropic hypogonadism. Read More

    Biochemical aberrations in a dialysis patient following parathyroidectomy.
    Am J Kidney Dis 1997 May;29(5):759-62
    Department of Internal Medicine, Yale University School of Medicine, New Haven, CT 06520-8029, USA.
    Renal osteodystrophy is a common problem in patients with end-stage renal disease. Severe secondary hyperparathyroidism unresponsive to an intensive regimen of diet, phosphate binders, and calcitriol therapy is an indication for surgical parathyroidectomy. Certain unique postoperative electrolyte aberrations are seen after parathyroidectomy, including severe hypocalcemia and hypophosphatemia (hungry bone syndrome), as well as hyperkalemia. Read More

    Multicenter prospective study of nonruptured abdominal aortic aneurysm. Part II. Variables predicting morbidity and mortality.
    J Vasc Surg 1989 Mar;9(3):437-47
    Canadian Society for Vascular Surgery, Aneurysm Study Group, Toronto, Ontario.
    A previous article (Part I) described the patient population and operative management of 666 patients who had surgery for nonruptured abdominal aortic aneurysms. This article details the perioperative complications and, by chi-square and logistic regression analysis, identifies the variables that are associated with each complication. In summarizing the results (below) the incidence of each complication is listed, along with the predictive risk factors in parentheses that have significance levels less than 0. Read More

    Selective pre-transplant nephrectomy: indications and perioperative management.
    J Urol 1985 Mar;133(3):379-82
    From May 1977 to June 1983, 198 patients were accepted as candidates for renal transplantation at our university. We review our experience with 14 consecutive patients who underwent selective pre-transplant nephrectomy during this interval. Indications for this procedure included recurrent or chronic pyelonephritis, structural abnormalities of the urinary tract predisposing the patient to infection, malignant or renin-dependent hypertension, Goodpasture's disease, certain cases of rapidly progressive glomerulonephritis and selected patients with polycystic kidneys. Read More

    1 OF 1