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from Section 11 - Organ Transplant
Published online by Cambridge University Press: 03 August 2023
A 47-year-old male is scheduled for a cadaveric kidney transplant. He is due for hemodialysis today. His last hemodialysis was 2 days ago. An EKG, chest X-ray, and labs are sent. He is complaining of chest pressure and tightness. He last ate 8 hours ago. What are your primary anesthetic concerns? Does it matter when his last dialysis was? His potassium (K+) is 6.1 mEq/L. Does this change your anesthetic? The EKG and chest X-ray show left ventricular hypertrophy. Does that affect your management? Do you consider the patient to be NPO since he last ate 8 hours ago? Assuming you proceed with the surgery, what monitors will you use? Would you use general or regional anesthetic? What is your plan for the maintenance of anesthesia?
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