Skip to main content

Chronic Kidney Disease and the Dialysis Patient

  • Chapter
  • First Online:
  • 786 Accesses

Abstract

A 64-year-old male with chronic hypercalcemia presented for elective four-gland parathyroidectomy with auto-transplantation. He had a history of end-stage kidney disease and was intermittently hemodialyzed at home via a tunnelled central venous catheter in his right internal jugular vein. Other past medical history included diabetes mellitus (DM) (type two) for the preceding 16 years, longstanding essential hypertension, four myocardial infarctions with subsequent coronary artery bypass grafting 2 years prior to this visit, gastroesophageal reflux disease, and obstructive sleep apnea requiring continuous positive airway pressure support at night. He was a non-smoker and had a body mass index of 35 kg/m 2 . He reported good functional capacity with no exertional angina.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   49.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   64.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   99.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. KDIGO 2012 Clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney Int. 2013;3(Suppl):1–150.

    Google Scholar 

  2. Centers for Disease Control and Prevention. Chronic kidney disease Initiative website. https://www.cdc.gov/kidneydisease/basics.html. Accessed 13 Feb 2019.

  3. Nesrallah GE, Mustafa RA, Clark WF, Bass A, Barnieh L, Hemmelgarn BR, et al.; Canadian Society of Nephrology. Canadian Society of Nephrology 2014 clinical practice guideline for timing the initiation of chronic dialysis. CMAJ. 2014;186(2):112–7.

    Google Scholar 

  4. Gansevoort RT, Correa-Rotter R, Hemmelgarn BR, Jafar TH, Heerspink HJ, Mann JF, et al. Chronic kidney disease and cardiovascular risk: epidemiology, mechanisms, and prevention. Lancet. 2013;382(9889):339–52.

    Article  Google Scholar 

  5. Sun LY, Wijeysundera DN, Tait GA, Beattie WS. Association of intraoperative hypotension with acute kidney injury after elective noncardiac surgery. Anesthesiology. 2015;123(3):515–23.

    Article  Google Scholar 

  6. Craig RG, Hunter JM. Recent developments in the perioperative management of adult patients with chronic kidney disease. Br J Anaesth. 2008;101(3):296–310.

    Article  CAS  Google Scholar 

  7. Arnold R, Issar T, Krishnan AV, Pussell BA. Neurological complications in chronic kidney disease. JRSM Cardiovasc Dis. 2016;5:2048004016677687.

    PubMed  PubMed Central  Google Scholar 

  8. Maroz N, Simman R. Wound healing in patients with impaired kidney function. J Am Coll Clin Wound Spec. 2013;5(1):2–7.

    Article  Google Scholar 

  9. Bello AK, Alrukhaimi M, Ashuntantang GE, Basnet S, Rotter RC, Douthat WG, et al. Complications of chronic kidney disease: current state, knowledge gaps, and strategy for action. Kidney Int Suppl (2011). 2017;7(2):122–9.

    Article  Google Scholar 

  10. KDIGO. Clinical practice guideline for anemia in chronic kidney disease. Kidney Int Suppl. 2012;2(4):288–335.

    Article  Google Scholar 

  11. Khanna S, Sniderman K, Simons M, et al. Superior vena cava stenosis associated with hemodialysis catheter. Am J Kidney Dis. 1993;21(3):278–81.

    Article  CAS  Google Scholar 

  12. Oh TK, Lee J, Hwang JW, Do SH, Jeon YT, Kim JH, et al. Value of preoperative modified body mass index in predicting postoperative 1-year mortality. Sci Rep. 2018;8(1):4614.

    Article  Google Scholar 

  13. Fleisher LA, Fleischmann KE, Auerbach AD, Barnason SA, Beckman JA, Bozkurt B, et al. ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014;9:130(24):e278–333.

    Google Scholar 

  14. Wang AY, Lai KN. Use of cardiac biomarkers in end-stage renal disease. J Am Soc Nephrol. 2008;19(9):1643–52.

    Article  CAS  Google Scholar 

  15. Rehman KA, Betancor J, Xu B, Kumar A, Rivas CG, Sato K, et al. Uremic pericarditis, pericardial effusion, and constrictive pericarditis in end-stage renal disease: insights and pathophysiology. Clin Cardiol. 2017;40(10):839–46.

    Article  Google Scholar 

  16. Cerneviciute R, Sahebally SM, Ahmed K, Murphy M, Mahmood W, Walsh SR. Regional versus local anaesthesia for haemodialysis arteriovenous fistula formation: a systematic review and meta-analysis. Eur J Vasc Endovasc Surg. 2017;53(5):734–42.

    Article  CAS  Google Scholar 

  17. Hedges SJ, Dehoney SB, Hooper JS, Amanzadeh J, Busti AJ. Evidence-based treatment recommendations for uremic bleeding. Nat Clin Pract Nephrol. 2007;3(3):138–53. Review.

    Article  CAS  Google Scholar 

  18. Rudy D, Sica DA, Comstock T, Davis J, Savory J, Schoolwerth AC. Aluminum-citrate interaction in end-stage renal disease. Int J Artif Organs. 1991;14(10):625–9.

    Article  CAS  Google Scholar 

  19. Mailloux LU. Dialysis disequilibrium syndrome. In: Post TW, editor. UpToDate. Waltham, MA: UpToDate; 2020.

    Google Scholar 

  20. Sanghani NS, Soundararajan R, Golper TA. Medical management of the dialysis patient undergoing surgery. In: Post TW, editor. UpToDate. Waltham, MA: UpToDate; 2020.

    Google Scholar 

  21. Devereaux PJ, POISE-2 investigators. Aspirin in patients undergoing noncardiac surgery. N Engl J Med. 2014;370:1494–503.

    Article  CAS  Google Scholar 

  22. Zacharias M, Mugawar M, Herbison GP, Walker RJ, Hovhannisyan K, Sivalingam P, Conlon NP. Interventions for protecting renal function in the perioperative period. Cochrane Database Syst Rev. 2013;11(9):CD003590.

    Google Scholar 

  23. Mushiyakh Y, Dangaria H, Qavi S, Ali N, Pannone J, Tompkins D. Treatment and pathogenesis of acute hyperkalemia. J Community Hosp Intern Med Perspect. 2011;1(4) https://doi.org/10.3402/jchimp.v1i4.7372.

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 The Author(s)

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Young, S. (2021). Chronic Kidney Disease and the Dialysis Patient. In: Dillane, D., Finegan, B.A. (eds) Preoperative Assessment. Springer, Cham. https://doi.org/10.1007/978-3-030-58842-7_26

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-58842-7_26

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-58841-0

  • Online ISBN: 978-3-030-58842-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics