Renal transplantation and diabetic autonomic neuropathy.
This report describes six episodes of cardiovascular collapse in the perioperative period of a young diabetic woman undergoing general anaesthesia for renal transplantation and a similar episode after a second anaesthetic. She was subsequently found to have an autonomic neuropathy. Recommendations for the management of similar patients are made.
Thomas
A N
AN
Department of Anaesthesia, Manchester Royal Infirmary.
Pollard
B J
BJ
D000328:Adult; D000771:Anesthesia, Intravenous / Q000009:adverse effects; D001049:Apnea / Q000209:etiology; D001342:Autonomic Nervous System Diseases / Q000503:physiopathology*; D001919:Bradycardia / Q000209:etiology; D009202:Cardiomyopathies / Q000209:etiology; D003922:Diabetes Mellitus, Type 1 / Q000503:physiopathology*; D003929:Diabetic Neuropathies / Q000503:physiopathology*; D005260:Female; D006323:Heart Arrest / Q000209:etiology; D006331:Heart Diseases / Q000503:physiopathology*; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects