[Hemodynamic changes before and after anesthesia for renal transplantation].
Renal transplantation has come into use as a treatment for renal insufficiency, but infusion management before and after anesthesia for this operation is important. In order to prevent acute necrosis of the uriniferous tubules and to obtain urine outflow in early postoperative stage, a recent practice has been to give rapid infusions of large amounts of fluid, starting during the anastomosis of the renal vessels. We gave a large amount of intraoperative fluid to six patients undergoing transplantation of cadaver kidneys. A Swan-Ganz catheter was inserted into the pulmonary artery and infusion management was performed so as to maintain the pulmonary arterial pressure above 15 mmHg and the pulmonary capillary wedge pressure above 10 mmHg. The cardiac output increased as a result, and no pulmonary edema was seen. We believe that our method of infusion management using a Swan-Ganz catheter is a useful technique in such cases.
Isshiki
A
A
Minami
Y
Y
Yoshimatsu
N
N
Kusagaya
H
H
Fujita
R
R
Itoh
S
S
Ohmi
A
A
D000328:Adult; D000758:Anesthesia / Q000379:methods*; D005260:Female; D005440:Fluid Therapy / Q000379:methods; D006439:Hemodynamics; D006801:Humans; D016030:Kidney Transplantation / Q000379:methods*; D008297:Male