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Anesthesia acidosis kidney transplant

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https://www.readbyqxmd.com/read/25185593/an-acetate-buffered-balanced-crystalloid-versus-0-9-saline-in-patients-with-end-stage-renal-disease-undergoing-cadaveric-renal-transplantation-a-prospective-randomized-controlled-trial
#1
RANDOMIZED CONTROLLED TRIAL
Eva Potura, Gregor Lindner, Peter Biesenbach, Georg-Christian Funk, Christian Reiterer, Barbara Kabon, Christoph Schwarz, Wilfred Druml, Edith Fleischmann
BACKGROUND: Recent studies have shown a decline in glomerular filtration rate and increased renal vasoconstriction after administration of normal saline when compared with IV solutions with less chloride. In this study, we investigated the impact of normal saline versus a chloride-reduced, acetate-buffered crystalloid on the incidence of hyperkalemia during cadaveric renal transplantation. The incidence of metabolic acidosis and kidney function were secondary aims. METHODS: In this prospective randomized controlled trial, 150 patients received normal saline or an acetate-buffered balanced crystalloid during and after cadaveric renal transplantation...
January 2015: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/23953528/comparison-of-the-effects-of-normal-saline-versus-plasmalyte-on-acid-base-balance-during-living-donor-kidney-transplantation-using-the-stewart-and-base-excess-methods
#2
RANDOMIZED CONTROLLED TRIAL
S Y Kim, K H Huh, J R Lee, S H Kim, S H Jeong, Y S Choi
BACKGROUND: Ischemia-reperfusion injury is an inevitable consequence of kidney transplantation, leading to metabolic acidosis. This study compared the effects of normal saline (NS) and Plasmalyte on acid-base balance and electrolytes during living donor kidney transplantation using the Stewart and base excess (BE) methods. METHODS: Patients were randomized to an NS group (n = 30) or a Plasmalyte group (n = 30). Arterial blood samples were collected for acid-base analysis after induction of anesthesia (T0), prior to clamping the iliac vein (T1), 10 minutes after reperfusion of the donated kidney (T2), and at the end of surgery (T3)...
July 2013: Transplantation Proceedings
https://www.readbyqxmd.com/read/20169971/-case-of-hyperkalemia-possibly-caused-by-gabexate-mesilate
#3
Tomoki Doi, Kiyoyasu Kurahashi, Takahisa Goto
We report a case of hyperkalemia in a recipient of living-related liver transplantation. The patient received a continuous infusion of gabexate mesilate at 60 mg x hr(-1) starting about 1 hr after the induction of anesthesia. The serum potassium concentration (K+) was increased from 4.53 mEq x l-(1) to 5.08 mEq x l(-1) within about 1 hr. Thereafter, a massive blood loss caused by an accidental damage of the portal vein necessitated rapid fluid therapy to maintain blood pressure. We observed an abnormal ECG recording including a wide QRS complex and a high T wave when about 30 units of leukocytes-reduced red cell concentrates had been transfused...
February 2010: Masui. the Japanese Journal of Anesthesiology
https://www.readbyqxmd.com/read/19105257/-anesthetic-maintenance-of-renal-transplantation-in-children
#4
N Iu Biriulina, I A Ushakova, A V Vabishchevich
For many children with severe renal excretory dysfunction, renal transplantation is the sole method of life prolongation. The purpose of the investigation was to analyze the specific features of anesthetic maintenance of transplantation of related and cadaver kidney at 1 to 5 years. The investigation involved a detailed analysis of the specific features of 101 anesthesias made in children aged 1 to 16 years (mean 9.6+/-4.87 years) during transplantation of kidneys from corpses and apparently healthy relatives...
September 2008: Anesteziologiia i Reanimatologiia
https://www.readbyqxmd.com/read/16504681/early-acid-base-balance-disorders-during-kidney-transplantation
#5
K Tejchman, L Domański, J Sieńko, T Sulikowski, M Kamiński, M Romanowski, K Pabisiak, M Ostrowski, K Ciechanowski
INTRODUCTION: Reperfusion is a crucial moment in kidney transplantation. Resumption of blood flow is associated with many metabolic changes, which result from the kidney's initial condition and preservation. These biochemical alterations including the acid-base balance are the part of ischemia-reperfusion injury. The study's purpose was to examine acid-base balance during the first 30 minutes after reperfusion of the transplanted kidney. MATERIALS AND METHODS: The 30 recipients (13 men, 17 women) averaged ages of 46 +/- 14 years...
January 2006: Transplantation Proceedings
https://www.readbyqxmd.com/read/15072402/-anesthesia-for-a-pediatric-multivisceral-transplant
#6
P Sanabria Carretero, M A Herranz Ortega, E Rodríguez Pérez, L Goldman Tarlousky, G Martín Barrera, M López Santamaría
A 15-year-old female with short intestine syndrome due to chronic intestinal pseudo-obstruction associated with kidney failure underwent a multivisceral (stomach-duodenum-jejunum-ileum-pancreas-liver) and kidney transplant. She had required parenteral nutrition for the last 5 years, with numerous complications such as sepsis from the central catheter, deep venous thrombosis, severe liver dysfunction, pancytopenia due to bone marrow failure, and severe malnutrition. Surgery lasted 15 hours and was free of complications other than hypothermia, which worsened after revascularization of the grafts...
February 2004: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/8280340/-anesthesia-before-and-after-curare
#7
F F Foldes
Before the advent of curare, muscular relaxation essential for upper abdominal and intrathoracic surgery adequate operating conditions, could only be provided by deep ether or cyclopropane anaesthesia. The required depth of anaesthesia frequently caused severe cardiovascular depression, metabolic and respiratory acidosis and alteration of kidney and liver function. Ether, and especially cyclopropane sensitized the heart to the development of arrhythmias and the danger of explosion was never far away. For fear of anaesthetic mortality essential, life saving operations were often abandoned in poor risk patients...
1993: Anaesthesiologie und Reanimation
https://www.readbyqxmd.com/read/4909430/renal-transplantation-anaesthetic-experience-of-100-cases
#8
J R Samuel, D Powell
No abstract text is available yet for this article.
April 1970: Anaesthesia
https://www.readbyqxmd.com/read/4616243/anaesthetic-problems-of-renal-transplantation
#9
B H Smith
No abstract text is available yet for this article.
September 1973: Proceedings of the Royal Society of Medicine
https://www.readbyqxmd.com/read/4613208/-problems-caused-by-anesthesia-in-renal-transplantations-apropos-of-104-cases
#10
P Duvaldestin, G Vourc'h
No abstract text is available yet for this article.
May 1974: Anesthésie, Analgésie, Réanimation
https://www.readbyqxmd.com/read/4397673/neuroleptanalgesia-for-patients-with-kidney-malfunction
#11
R J Trudnowski, J W Mostert, G H Hobika, R Rico
No abstract text is available yet for this article.
July 1971: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/1089915/-anesthesiological-problems-in-renal-transplantation
#12
M L Giomini, G Bogi, G Soldani, P Marchesi
The physiopathological changes observed in uraemia are briefly described and an account is given pharmacological considerations relevant to the induction and maintenance of anaesthesia and muscle relaxation, The anaesthesiological management of 20 kidneys transplants (17 from living donors and 3 from cadavers) is explained. Steps taken for intra-operative care and protection of the transplanted organ to aid its function recovery are explained.
January 1975: Minerva Anestesiologica
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