Chinese Journal of Tissue Engineering Research ›› 2011, Vol. 15 ›› Issue (44): 8229-8232.doi: 10.3969/j.issn.1673-8225.2011.44.016

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Perioperative anesthesia management in patients undergoing allogenic renal transplantation: A review of data from 40 cases

Han Ping1, 2, Pan Xiao-jun3, Cao Gui-mao4   

  1. 1Department of Anesthesiology, Tianqiao District People’s Hospital of Jinan, Jinan   250012, Shandong Province, China
    2Medical College, Shandong University, Jinan  250012, Shandong Province, China
    3Department of Anesthesiology, Qilu Hospital, Shandong University, Jinan  250012, Shandong Province, China
    4Department of Anesthesiology, General Hospital of Jinan Military Area Command of Chinese PLA, Jinan   250012, Shandong Province, China
  • Received:2011-05-27 Revised:2011-08-16 Online:2011-10-29 Published:2011-10-29
  • Contact: Pan Xiao-jun, Master’s supervisor, Professor, Department of Anesthesiology, Qilu Hospital, Shandong University, Jinan 250012, Shandong Province, China panxj831@163.com
  • About author:Han Ping★, Studying for master’s degree, Attending physician, Department of Anesthesiology, Tianqiao District People’s Hospital of Jinan, Jinan 250012, Shandong Province, China; Medical College, Shandong University, Jinan 250012, Shandong Province, China zhanghm_2009@ 126.com

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Abstract:

BACKGROUND: Results of blood and blood glucose in patients undergoing allogenic renal transplantation show that changes of Na+, Cl-, Hct, Hb may be related to the blood dilution.
OBJECTIVE: To investigate an ideal anesthesia management in patients undergoing allogenic renal transplantation by monitoring the perioperative change of hemodynamics, electrolytes and biochemistry and anesthetic drug application.
METHODS: Mean arterial blood pressure (MAP), central venous pressure (CVP) and heart rate (HR), electrolytes and biochemistry were monitored and analyzed in 40 patients undergoing renal transplantation before anesthesia, before opening of renal artery, 10 minutes after opening renal artery and at the end of surgery.
RESULTS AND CONCLUSION: Compared with before anesthesia, MAP, CVP, pH, HCO3- and BE decreased significantly  (P < 0.01), and K+ and glucose levels increased significantly (P < 0.01) at 10 minutes after opening of renal artery. Compared with before opening of renal artery, MAP, glucose, pH, HCO3- and BE decreased significantly while HR was significantly increased at 10 minutes after opening of renal artery (P < 0.05). These findings suggest that a key to successful general anesthesia of renal transplantation involves sufficient preoperative preparation, rational anesthetic drug selection and the maintenance of perioperative circulation, breathing, and water-electrolyte and acid-base balance.

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