Anesthetic management for coronary bypass patients on hemodialysis: report of 4 patients
Suksompong, S.; Prakanrattana, U.; Sriyoschati, S.
Journal of the Medical Association of Thailand 84(5): 745-750
2001
ISSN/ISBN: 0125-2208 PMID: 11560229 Document Number: 1386
We reported our own experience in four patients with chronic renal failure on maintenance hemodialysis undergoing coronary artery bypass graft surgery (CABGS). A balanced general anesthesia with endotracheal intubation was successfully achieved by using midazolam, atracurium, fentanyl, pentothal, nitrous oxide in oxygen and isoflurane. All patients were hemodialyzed within 24 hours before operation. One patient started peritoneal dialysis 10 hours after surgery. Three other patients were managed by hemodialysis the day after surgery. There was no hospital mortality. Many aspects of management of these patients which differ from those of routine cardiac surgical patients are outlined and discussed.
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