| Changes of Central Venous Pressure following the Induction of General Anesthesia in Patients with End-Stage Renal Disease . |
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Won Oak Kim, Hae Keum Kil, Chung Hyun Cho |
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Department of Anesthesiology, Yonsei University College of Medicine, Seoul, Korea. |
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| Abstract |
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Changes of central venous pressure (CVP) after the induction of general anesthesia in patients (n= 96) with end-stage renal disease were retrospectively studied. In group 1 (hemodialysis group) patients, delta CVP was higher than group 2 (peritoneal dialysis group) patients (7.1+/-3.1 versus 5.0+/-2.2cm H2O, mean values+/-s.d.). Without any sudden increasing of circulating volume during induction period, delta CVP was led to a result. Pre-induction values of CVP and systolic blood pressure, and airway pressure were regarded as causes of increasing CVP following induction.
These three varables were associated with lung function in chronic renal faiure. The induction, itself, plus positive pressure ventilation were suspected and the more profound reduction of lung function (FRC, compliance) in patients with end-stage renal disease were suggested to the reasons of increasing CVP. |
| Key Words:
End-stage renal disease; Induction; Central venous pressure |
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