Anesthesia for infrarenal aortic aneurysm repair in a hemodialysis dependent patient.
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概要
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We have experienced a patient with an infrarenal abdominal aortic aneurysm, who has been dependent on a hemodialysis for a long term and have a surgery of substitution for an artificial vessel.Hemodynamic variables and changes in arterial and mixed venous oxygen partial pressure during this particular operation were discribed, in which in addition to the common anesthetic problems on hemodialysis-dependent patients we encountered a marked hemodynamic alteration and an extensive bleeding. To avoid increasing pottasium level with massive transfusion of stored blood, an autologous blood recovering system was used. However, this system turned out to be difficult in estimating the accurate blood loss and in shortening the time of preperation of recovering blood, which resulted in the severe and meticulous anesthetic management.
- 日本臨床麻酔学会の論文
日本臨床麻酔学会 | 論文
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