Anaesthesia for Chronic Renal Disease and Renal Transplantation

Rang, Simon T.; West, Nigel L.; Howard, John J.; Cousins, Jonathan

doi:10.1016/j.eeus.2006.08.005

Cited by 21 publications

(24 citation statements)

References 26 publications

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“…►Table 1 summarizes the systemic impacts of SAH and CKD. [2][3][4][5][6][7] A thorough evaluation of all the body systems is recommended in these patients. ECG and echocardiographic abnormalities due to CKD are difficult to differentiate from those due to SAH.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Coiling in a Patient with Chronic Kidney Disease—A Challenge for Anesthesiologist

Samagh

Singh

Jangra

et al. 2020

J Neuroanaesth Crit Care

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A 41-year-old male patient, a known case of autosomal dominant polycystic kidney disease (ADPCKD), presented to our institute with right middle cerebral artery aneurysm for which balloon-assisted endovascular coiling was planned. The major comorbidities were hypertension and end-stage renal disease (ESRD) on hemodialysis, twice weekly. Endovascular coiling was performed under general anesthesia, and special precautions were taken with regard to monitoring, fluid management, use of heparin, and contrast agent. The intraoperative and postoperative course was uneventful, and the patient was discharged after 7 days. In this report, various perioperative challenges of patients with chronic renal failure during coiling are discussed along with the measures to prevent the occurrence of contrast-induced nephropathy.

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Section: Discussionmentioning

confidence: 99%

Endovascular Coiling in a Patient with Chronic Kidney Disease—A Challenge for Anesthesiologist

Samagh

Singh

Jangra

et al. 2020

J Neuroanaesth Crit Care

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“…Pain control is also an important indicator of surgical success. Adequate pain control is extremely important in patients with end-stage renal disease with severe co-morbidities [21]. The prospective, randomized, clinical study from Shoshiashvili et al [6] showed significantly different results between BPB and LA groups in terms of pain intensity.…”

Section: Discussionmentioning

confidence: 99%

Comparison of regional and local anesthesia for arteriovenous fistula creation in end-stage renal disease: a systematic review and meta-analysis

Chen

Weng

et al. 2020

Preprint

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Background Arteriovenous fistulae (AVF) are the hemodialysis access modality of choice for patients with end-stage renal disease. However, they have a high early failure rate. Good vascular access is essential to manage long-term hemodialytic treatment, but some anesthesia techniques directly affect venous diameter as well as intra- and post- operative blood flow. The main purpose of this meta-analysis was to compare the results of regional and local anesthesia for arteriovenous fistula creation in end-stage renal disease.Methods: We conducted a systematic review and meta-analysis to synthesize evidence from 7 randomized controlled trials (565 patients) and 2 observational studies (524 patients) aim to evaluate the safety and efficacy of regional anesthesia (RA) versus local anesthesia (LA) in AVF surgical construction.Results: Pooled data showed that RA was associated with higher primary patency rates than LA (odds ratio [OR], 1.88; 95% confidence interval [CI], 1.24 - 2.84; P = 0.003; I 2 = 31%; Figure 2a). Additionally, brachial artery diameter was significantly increased in the RA versus LA group (mean difference [MD] = 0.83; 95% CI: 0.75 - 0.92; P < 0.001; I 2 = 97%) and the need for intra- as well as post- operative pain killers was significantly less (RA, p = 0.0363; LA, p = 0.0318). Moreover, operation duration was significantly reduced in the RA (67.5 ± 8.9 min) versus LA (134.7 ± 14.8 min) group (p = 0.0007).Conclusions: In conclusion, compared with LA, RA shows higher primary patency rates and it also associated with significantly better intra- as well as post- operative pain control, reduced operative times, which are extremely important in patients with end-stage renal disease and severe comorbidities.

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“…However, with careful management, the risk of these possible complications is low. 18 Types of regional anesthesia for ESRD patients For successful ultrasound (US)-guided nerve block, the performer should 1. Identify the target nerve structure and obtain appropriate image.…”

Section: General Anesthesiamentioning

confidence: 99%

Regional Anesthesia: Boon for Chronic Kidney Disease Patients Undergoing Vascular Access Surgery

Rath

Shrivastava

Luthra

et al. 2019

IJRSMS

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The incidence of chronic kidney disease (CKD) is alarmingly high in Indian population with a steep rise in end-stage renal disease patients requiring dialysis access. The preexisting comorbidities associated with high morbidity further necessitate an anesthetic plan which provides benefits intraoperatively as well postoperatively. Different anesthesia techniques can be employed in CKD patients which are associated with complications. The aim of this review is to study the role and benefits of regional anesthesia in CKD patients.

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Anaesthesia for Chronic Renal Disease and Renal Transplantation

Cited by 21 publications

References 26 publications

Endovascular Coiling in a Patient with Chronic Kidney Disease—A Challenge for Anesthesiologist

Endovascular Coiling in a Patient with Chronic Kidney Disease—A Challenge for Anesthesiologist

Comparison of regional and local anesthesia for arteriovenous fistula creation in end-stage renal disease: a systematic review and meta-analysis

Regional Anesthesia: Boon for Chronic Kidney Disease Patients Undergoing Vascular Access Surgery

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