Anesthesia for ruptured cerebral aneurysm surgery associated with chronic renal failure.
The management of patients with chronic renal failure (CRF) undergoing cerebral aneurysm surgery has been documented on only a few occasions. We report a 58-year-old man with CRF and subarachnoid hemorrhage (SAH) due to aneurysm rupture. We describe the patient's perioperative anesthetic management, discussing the current methods for maintaining an appropriate cerebral perfusion pressure and for preventing rehemorrhage from the aneurysm. We suggest that heparin-aided hemodialysis be avoided in these cases.
Department of Anesthesiology, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain.
J
J
Hernández-Palazón
J A
JA
Tortosa
C
C
García-Palenciano
J F
JF
Martínez-Lage
S
S
Llorente
D000768:Anesthesia, General; D017542:Aneurysm, Ruptured / Q000601:surgery*; D000925:Anticoagulants; D001794:Blood Pressure / Q000502:physiology; D002560:Cerebrovascular Circulation / Q000502:physiology; D000075202:Contraindications; D006493:Heparin; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D019148:Neuromuscular Blockade; D006435:Renal Dialysis; D013345:Subarachnoid Hemorrhage / Q000517:prevention & control / Q000601:surgery
D000925:Anticoagulants; D006493:Heparin