Aortic valve replacement in a hemodialysis-dependent patient: anesthetic considerations--a case report.
In the anesthetic management of a hemodialysis-dependent patient undergoing aorticvalve replacement, technical and pathophysiologic problems considered included: 1. The presence of an arteriovenous hemodialysis fistula. 2. Hemodynamic alterations associated with aortic insufficiency. 3. Choice of anesthetic agents, fluid, and electrolyte balance in the presence of renal failure. 4. Postoperative management of hypertension and hyperkalemia. While there are many possible approaches, the authors present one successful technic for consideration.
D000328:Adult; D000758:Anesthesia; D000769:Anesthesia, Inhalation; D000771:Anesthesia, Intravenous; D001021:Aortic Valve / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000601:surgery; D001166:Arteriovenous Shunt, Surgical; D002315:Cardiopulmonary Bypass; D005283:Fentanyl; D006221:Halothane; D006350:Heart Valve Prosthesis; D006801:Humans; D007649:Ketamine; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy; D008297:Male; D009609:Nitrous Oxide; D010100:Oxygen; D010197:Pancuronium; D006435:Renal Dialysis; D014882:Water-Electrolyte Balance
D007649:Ketamine; D010197:Pancuronium; D009609:Nitrous Oxide; D010100:Oxygen; D005283:Fentanyl; D006221:Halothane