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Anesthesia and Surgery in the Patient with Renal Failure

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Therapy of Renal Diseases and Related Disorders

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Abstract

Most patients with chronic renal failure(CRF) will receive an anesthetic, either for vascular access before hemodialysis or at the time of renal transplantation. Many have disseminated systemic disease, which increases the problems of anesthesia. The purpose of the present chapter is to review the major obstacles to safe anesthesia, to describe the modification in the activity of anesthetic drugs induced by renal failure, and to recommend safe approaches to anesthesia in the functionally anephric patient. Most patients are now dialyzed within 48 hours of transplantation so that severe cardiovascular and biochemical disturbances are seldom observed at the time of surgery.

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Authors
  1. David R. Bevan
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Editors and Affiliations

  1. Baylor College of Medicine, The Methodist Hospital, Houston, Texas, USA

    Wadi N. Suki

  2. Division of Nephrology, University of Southern California, Los Angeles, California, USA

    Shaul G. Massry

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© 1991 Kluwer Academic Publishers

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Bevan, D.R. (1991). Anesthesia and Surgery in the Patient with Renal Failure. In: Suki, W.N., Massry, S.G. (eds) Therapy of Renal Diseases and Related Disorders. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-0689-4_43

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  • DOI: https://doi.org/10.1007/978-1-4613-0689-4_43

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-8027-9

  • Online ISBN: 978-1-4613-0689-4

  • eBook Packages: Springer Book Archive

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