| Anesthesia for Renal Transplantation in Children: 4 cases. |
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Jae Wook Yoo, Ok Young Shin, Bong Jae Lee, Ho Chul Park, Byoung Soo Cho |
1Department of Anesthesiology, Kyunghee University, Seoul, Korea.
2Department of General Surgery, Kyunghee University, Seoul, Korea.
3Department of Pediatrics College of Medicine, Kyunghee University, Seoul, Korea. |
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| Abstract |
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Despite significant advances in dialysis technology, kidney transplantation is accepted today as the optimal available treatment for end-stage renal disease (ESRD) in children and adolescents. Children undergoing renal transplantation pose many challenges to the anesthesiologist because ESRD has such adversely affects on the entire vital organ system as hypotension, hypovolemia, acidosis, atelectasis and pulmonary edema. Most importantly, hypotension and hypovolemia as results of large kidney transplantation should be corrected for normal renal function. In addition, ESRD alters the effects of various drugs used in anesthetic practice. We experienced 4 cases of general anesthesia for renal transplantation in children. Careful preoperative evaluation and preparation of the patients, as well as a knowledge of altered dry responses are essential in planning and managing anesthesia. |
| Key Words:
Anesthesia, pediatric; Transplantation, kidney |
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