Abstract
The Haemolytic Uraemic Syndrome is the most important cause of renal failure in infancy and childhood. The disease usually consists of a typical triad of renal failure, haemolytic anaemia, thrombocytopenia. It is, however, a multisystem disorder which may also involve the liver as well as cardiovascular, pulmonary and central nervous systems.
We present a case of a female child with Haemolytic Uraemic Syndrome who presented for placement of an arteriovenous shunt to facilitate haemodialysis. The clinical presentation and management of the Haemolytic Uraemic Syndrome is discussed. Anaesthetic management of patients with the Haemolytic Uraemic Syndrome is discussed and recommendations are made.
Résumé
Le syndrome hémolytique urémique est la cause la plus importante ďinsuffisance renale chez le nourisson et ľenfant. La maladie habituellement est composée ďune triade classique ďinsuffisance rénale, anemie hémolytique et thrombocytopéenic Elle est cependant une maladie multisystémique qui peut impliquer aussi le foie ainsi que le système cardiovasculaire pulmonaire et le système nerveux central.
On présente le cas ďun enfant atteint du syndrome se présentant pour ta création ďun shunt artérioveineux pour fin ďhémodialyse. La présentation ainsi que la conduite à faire en face de ce syndrome est disculée. La conduite anesthésique du patient atteint de ce syndrome est discutée et des recommandations sont faites.
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References
Musgrave J.E., Talwalkar Y.B., Puri H.C., Campbell R.A., Loggan B. Hemolytic uremic syndrome, a clinical review. Clinical Pediatrics. 1978; 17: 218–25.
Fong J.S.C., de Chadarevian J.P., Kaplan B.S. Hemolytic uremic syndrome, current concepts and management. Pediatr Clin. N. Am. 1982; 29: 835–56.
Shapiro C.M., Kanter A.,Lopas H., Rabiner S.F. Hemolytic uremia syndrome in adults. J.A.M.A. 1970; 213: 567.
Donckerwolcke R.A., Kuijten R.H., Tiddens H.A., van. Gool J.D. Hemolytic uremic syndrome. Pediatrician. 1979; 8: 378–9.
Upadhyaya K., Barwick K., Fishaut M., Kashgarian M., Siegel N.J. The importance of nonrenal involvement in hemolytic uremic syndrome. Pediatr. 1980; 65: 115–20.
Van Rhijn A.J., Donckerwolcke R.A., Kuijten R.H. et at. Liver damage in hemolytic uremic syndrome. Helv Paediatr Acta. 1977; 32: 77.
Sanchez Avolos J., Vi tacco M., Molinas F., Penalver J., Gianantonio C. Coagulation studies in the hemolytic uremic syndrome. J. Pediatr. 1970; 76: 538–48.
Vitsky B.H., Suzuki Y., Strauss L. et al. The hemolytic uremic syndrome: a study of renal pathologic alternations. J. Pathol. 1969; 57: 627.
Choneim M.M., Pandya H. Plasma protein binding of thiopental in patients with impaired renal or hepatic function. Anesthesiology. 1975; 42: 545.
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Johnson, G.D., Rosales, J.K. The haemolytic uraemic syndrome and anaesthesia. Can J Anesth 34, 196–199 (1987). https://doi.org/10.1007/BF03015347
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DOI: https://doi.org/10.1007/BF03015347