[Anesthesia with propofol, remifentanil and cisatracurium in renal transplantation].
A 41-year-old woman with end-stage renal insufficiency in peritoneal dialysis for 3 years received a kidney transplant under anesthesia with remifentanil, propofol, and cisatracurium. She had a history of hypertension and was being treated with enalapril, metoprolol and erythropoietin. After anesthetic induction, blood pressure fell significantly and surgery was performed in a context of hemodynamic stability. The postoperative course was good, with a functional graft and adequate diuresis from the start. Anesthetics with minimal residual effects and as little renal toxicity as possible are ideal for use in kidney transplantation. The drugs used in this case had pharmacokinetic and pharmacodynamic properties that make them particularly appropriate for such patients.
Carmona García
P
P
Hospital Universitario Gregorio Marañón, 28007 Madrid. paulac_g@hotmail.com
Peleteiro Pensado
A
A
Jiménez de La Fuente
C
C
Gago Quiroga
S
S
Zaballos García
M
M
D000328:Adult; D000771:Anesthesia, Intravenous; D018686:Anesthetics, Intravenous / Q000008:administration & dosage* / Q000493:pharmacokinetics; D001279:Atracurium / Q000008:administration & dosage* / Q000031:analogs & derivatives* / Q000493:pharmacokinetics; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications; D007676:Kidney Failure, Chronic / Q000150:complications / Q000378:metabolism / Q000601:surgery; D016030:Kidney Transplantation; D009466:Neuromuscular Blocking Agents / Q000008:administration & dosage* / Q000493:pharmacokinetics; D010880:Piperidines / Q000008:administration & dosage* / Q000493:pharmacokinetics; D016891:Polycystic Kidney, Autosomal Dominant / Q000150:complications / Q000601:surgery; D015742:Propofol / Q000008:administration & dosage* / Q000493:pharmacokinetics; D000077208:Remifentanil; D012079:Renal Circulation / Q000187:drug effects
D018686:Anesthetics, Intravenous; D009466:Neuromuscular Blocking Agents; D010880:Piperidines; D001279:Atracurium; D000077208:Remifentanil; C101584:cisatracurium; D015742:Propofol