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Anaesthesia and Major Surgery in Patients with Renal Failure

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Replacement of Renal Function by Dialysis

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Abstract

In the last few years there has been, thanks to advances in nephrology, a complete change in the fields of anaesthesia and surgery in relation to patients with renal failure. It is, for example, no longer the rule that they come to the operating room for renal transplantation showing major patho-physiological features of uraemia, such, for example, as gross metabolic acidosis, a bleeding tendency and a high plasma potassium. Now their blood pressure is generally well-controlled, they are not suffering from gross overhydration and their general condition is frequently good. As nephrology has advanced, so has anaesthesia become simpler. A simple summary of the practical problems which face the surgeon and the anaesthetist are given in Table 1.

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  1. John E. Utting
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Editors and Affiliations

  1. Nephrology Division, F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA

    John F. Maher M.D., FACP (Professor of Medicine, Director) (Professor of Medicine, Director)

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© 1989 Kluwer Academic Publishers

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Utting, J.E. (1989). Anaesthesia and Major Surgery in Patients with Renal Failure. In: Maher, J.F. (eds) Replacement of Renal Function by Dialysis. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-1087-4_52

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  • DOI: https://doi.org/10.1007/978-94-009-1087-4_52

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6979-3

  • Online ISBN: 978-94-009-1087-4

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