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Anesthesia and Surgery in the Patient with Renal Failure

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Suki and Massry’s THERAPY OF RENAL DISEASES AND RELATED DISORDERS

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Abstract

Most patients with chronic renal failure (CRF) will receive anesthesia for vascular access before hemodialysis, for renal transplantation, or for surgery unrelated to their renal disease. CRF is associated with systemic disease, which increases the problems of anesthesia. The purpose of this chapter is to review the major obstacles to safe anesthesia, to describe the changes induced by renal failure, in the activity of drugs used during anesthesia, and to recommend safe approaches to anesthesia in CRF. Most patients are now well controlled by dialysis and, before renal transplantation, will usually have received hemodialysis within 48 hours of the procedure, so severe cardiovascular and biochemical disturbances are seldom observed at the time of surgery.

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Authors and Affiliations

  1. Department of Anaesthesia, University of British Columbia, Vancouver General Hospital, Vancouver, B.C., V5Z 4E3, Canada

    David R. Bevan M.D., M.R.C.P., F.R.C.A. (Professor and Head)

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  1. David R. Bevan M.D., M.R.C.P., F.R.C.A.
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Wadi N. Suki M.D. Shaul G. Massry M.D.

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Bevan, D.R. (1998). Anesthesia and Surgery in the Patient with Renal Failure. In: Suki, W.N., Massry, S.G. (eds) Suki and Massry’s THERAPY OF RENAL DISEASES AND RELATED DISORDERS. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-6632-5_47

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  • DOI: https://doi.org/10.1007/978-1-4757-6632-5_47

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4757-6634-9

  • Online ISBN: 978-1-4757-6632-5

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