Skip to main content

Anesthesia-Related Morbidity

  • Chapter
Anesthesia for Renal Transplantation

Part of the book series: Developments in Critical Care Medicine and Anesthesiology ((DCCA,volume 14))

  • 57 Accesses

Abstract

In the previous chapter, an arbitrary division was designated between the immediate postanesthetic period (up to 24 hours postoperatively) and subsequent time period. This chapter will deal with postanesthetic and postoperative problems which are likely to become mainfest more than 24 hours after surgery is completed. Several examples of postoperative morbidity are included which may be only indirectly related (or not related at all) to the anesthetic management. It is important, however, to be aware of their possible occurrence so that the patient may receive appropriate evaluation and care, and so that the anesthetic technique is not incorrectly implicated as cause of the morbidity.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
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

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Crandall WB, Pappas SG, MacDonald A: Nephrotoxicity associated with methoxyflurane anesthesia. Anesthesiology 27:591, 1966.

    Article  Google Scholar 

  2. Cousins MJ, Greenstein LR, Hitt BA, et al.: Metabolism and renal effects of enflurane in man. Anesthesiology 44:44, 1976.

    Article  PubMed  CAS  Google Scholar 

  3. Dobkin: Blood serum fluoride levels with enflurane (Ethrane) and isoflurane (Forane) anaesthesia during following major abdominal surgery. Can Anaesth Soc J 20:494, 1973.

    Article  PubMed  CAS  Google Scholar 

  4. Loehning R, Mazze RI: Renal dysfunction following enflurane anesthesia: report of a case. Anesthesiology 401:203, 1974.

    Article  Google Scholar 

  5. Hartnett MN, Lane W, Bennett WM: Non-oliguric renal failure and enflurane. Ann Intern Med 87:560, 1974.

    Google Scholar 

  6. Eichhorn JH, Hedley-Whyte J, Steinman TI, et al.: Renal failure following enflurane anesthesia. Anesthesiology 45:557, 1976.

    Article  PubMed  CAS  Google Scholar 

  7. Mazze RI, Sievenpiper TS, Stevenson J: Renal effects of enflurane and halothane in patients with abnormal renal function. Anesthesiology 60:161, 1984.

    Article  PubMed  CAS  Google Scholar 

  8. Wickström I: Enflurane anesthesia in living donor renal transplantation. Acta Anaesth Scand 25:263, 1981.

    Article  PubMed  Google Scholar 

  9. de Temmerman P, Gribomont B: Enflurane in renal transplantation: report of 375 cases. Acta Anaesth Scand (Suppl) 71:24, 1979.

    Article  Google Scholar 

  10. Mazze RI, Cousins MJ, Barr GA: Renal effects of metabolism of isoflurane in man. Anesthesiology 40:536, 1974.

    Article  PubMed  CAS  Google Scholar 

  11. Bready LL, Orr MD, Banowsky LH: Defluorination of isoflurane in patients undergoing renal transplantation. Anesthesiology 59:A257, 1983.

    Google Scholar 

  12. Aldrete JA, Daniel W, O’Higgins JW, et al.: Analysis of anesthetic-related morbidity in human recipients of renal homografts. Anesth Analg 50:321, 1971.

    PubMed  CAS  Google Scholar 

  13. Wyant GM: The anaesthetist looks at tissue transplantation: three years’ experience with kidney transplants. Can Anaesth Soc J 14:255, 1967.

    Article  PubMed  CAS  Google Scholar 

  14. Degos F, Degott C, Bedrossian J, et al.: Is renal transplantation involved in posttransplantation liver disease? A prospective study. Transplantation 29:100, 1980.

    Article  PubMed  CAS  Google Scholar 

  15. Meyrier A: Uremia and the liver. Nephron 29:1, 1981.

    Article  PubMed  CAS  Google Scholar 

  16. London WT, Drew JS, Blumberg BS, et al.: Association of graft survival with host response to hepatitis B infection in patients with kidney transplants. N Engl J Med 296:241, 1977.

    Article  PubMed  CAS  Google Scholar 

  17. Rao KV, Anderson WR: The morphology and natural history of chronic liver disease in renal transplant recipients. Transplant Proc 17:165, 1985.

    Google Scholar 

  18. Chou S: Acquisition of donor strains of cytomegalovirus by renal-transplant recipients. N Engl J Med 314:1418, 1986.

    Article  PubMed  CAS  Google Scholar 

  19. Carlier M, Squifflet JP, Pirson Y, et al.: Maximal hydration during anesthesia increases pulmonary artery pressures and improves early function of human renal transplant. Transplantation 34:210, 1982.

    Article  Google Scholar 

  20. Conger JD, Hammond WS, Alfrey AC, et al.: Pulmonary calcification in chronic dialysis patients. Ann Int Med 83:330, 1975.

    PubMed  CAS  Google Scholar 

  21. Rodelas R, Rakowski T, Argy W, et al.: Fibrosing uremic pleuritis during hemodialysis. JAMA 243:2424, 1980.

    Article  PubMed  CAS  Google Scholar 

  22. Munda R, Alexander JW, First WR, et al.: Pulmonary infections in renal transplant recipients. Ann Surg 187:2, 1978.

    Article  Google Scholar 

  23. Fairshter R, Vaziri N, Wilson A, et al.: Respiratory physiology before and after hemodialysis in chronic renal failure patients. Am J Med Sci 278:11, 1979.

    Article  PubMed  CAS  Google Scholar 

  24. Craddock P, Fehr J, Brigham K, et al.: Complement and leukocyte-mediated pulmonary dysfunction in hemodialysis. N Engl J Med 296:769, 1977.

    Article  PubMed  CAS  Google Scholar 

  25. Forman J, Ayers L, Miller W: Pulmonary diffusing capacity in chronic renal failure. Br J Dis Chest 75:81, 1981.

    Article  PubMed  CAS  Google Scholar 

  26. Zidulka A, Despas P, Milic-Emili J, et al.: Pulmonary function with acute loss of excess lung water by hemodialysis in patients with chronic uremia. Am J Med 55:134, 1973.

    Article  PubMed  CAS  Google Scholar 

  27. Stanescu DC, Veriter C, DePlaen JF, et al.: Lung function in chronic uraemia before and after removal of excess of fluid by hemodialysis. Clin Sci Mol Med 47:143, 1974.

    PubMed  CAS  Google Scholar 

  28. Fairshter RD, Vaziri ND, Farooqui S, et al.: Pulmonary pathology in renal transplant recipients. Int J Artif Organs 7:327, 1984.

    PubMed  CAS  Google Scholar 

  29. Zarday Z, Benjamin J, Koerner S, et al.: Effects of hemodialysis and renal transplantation on pulmonary function. Chest 63:532, 1973.

    Article  PubMed  CAS  Google Scholar 

  30. Samuel E: Lung changes associated with organ transplantation. Br J Radiol 43:646, 1970.

    Article  PubMed  CAS  Google Scholar 

  31. Ramsey PG, Rubin RH, Tolkoff-Rubin NE, et al.: The renal transplant patient with fever and pulmonary infiltrates: etiology, manifestations, and management. Medicine 59:206, 1980.

    Article  PubMed  CAS  Google Scholar 

  32. Simmons RE, Uranga VM, Llante ES et al.: Pulmonary complications in transplant recipients. Arch Surg 105:260, 1972.

    PubMed  CAS  Google Scholar 

  33. Scully RE, Mark EJ, Meely BU: Case records of the Massachusetts General Hospital: weekly clinicopathological exercises—Case 13–1985. N Engl J Med 312:843, 1985.

    Article  Google Scholar 

  34. Jacobs C, Reach I, Degoulet P: Cancer in patients on hemodialysis. N Engl J Med 300:1279, 1979.

    PubMed  CAS  Google Scholar 

  35. Grodstein G, Harrison A, Robert C, et al.: Impaired gastric emptying in hemodialysis patients (Abstract). Kidney Int 16:952A, 1979.

    Google Scholar 

  36. Friedman M, Libert R, Michaelson ED: Unilateral pulmonary edema after renal transplantation. N Engl J Med 293:7, 1975.

    Article  Google Scholar 

  37. Snoy FJ, WoodsidR: Unilateral pulmonary edema (down-lung syndrome) following urological operations. J Urol 132:776, 1984.

    PubMed  CAS  Google Scholar 

  38. Wiggers RH: Pulmonary complications after renal transplantation. Radiol Clin (Basel) 47:44, 1978.

    CAS  Google Scholar 

  39. Bowie DM, Marrie TJ, Janigan DT, et al.: Pneumonia in renal transplant patients. Can Med Assoc J 128:1411, 1983.

    PubMed  CAS  Google Scholar 

  40. Huertas VE, Port FK, Rozas VV, et al.: Pneumonia in recipients of renal allografts. Arch Surg 111:162, 1976.

    PubMed  CAS  Google Scholar 

  41. Webb WR, Gamsu G, Rohlfing BM, et al.: Pulmonary complications of renal transplantation: a survey of patients treated by low-dose immunosuppression. Radiology 126:1, 1978.

    PubMed  CAS  Google Scholar 

  42. Eickhoff TC: Infectious complications in renal transplant recipients. Transplant Proc 5:1233, 1973.

    PubMed  CAS  Google Scholar 

  43. Yazbech S, Larbrisseau A, O’Regan S: Femoral neuropathy after renal transplantation. J Urol 134:720, 1985.

    Google Scholar 

  44. Britt BA, Gordon RA: Peripheral nerve injuries associated with anesthesia. Can Anaesth Soc J 11:514, 1964.

    Article  PubMed  CAS  Google Scholar 

  45. Winsett OE, Wolma FJ: Complications of vascular access for hemodialysis. South Med J 78:513, 1985.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1987 Martinus Nijhoff Publishing, Boston

About this chapter

Cite this chapter

Bready, L.L. (1987). Anesthesia-Related Morbidity. In: Graybar, G.B., Bready, L.L. (eds) Anesthesia for Renal Transplantation. Developments in Critical Care Medicine and Anesthesiology, vol 14. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2035-7_13

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-2035-7_13

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-9211-1

  • Online ISBN: 978-1-4613-2035-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics