[Anesthetic management of renal transplantation for a 15-year-old girl with cerebral palsy].
A 15-year-old girl with severe cerebral palsy underwent renal transplantation. It was difficult to anastomose blood vessels because her inferior limbs were contracted. The clamp time was 67 minites. After unclamping, blood pressure fell down from 120/60 to 80/50 mmHg, and CVP fell down from 6 to 3 mmHg. First flow of urine from the donor kidney was noticed 9 hours after unclamping. We regarded difficulty of the operation for cerebral palsy and insufficient infusion as the cause of the late first flow of urine. Two weeks later, there was enough urine flow, and renal function became better. Recently, it is thougt optimal to perform renal transplantations of children who have chronic renal insufficiency and end-stage renal disease. However, there are few reports of renal transplantations for children with cerebral palsy, and there is no guideline for them. Therefore, we anesthesiologists, also have to further examine anesthetic management for each case.
Taguchi
Shima
S
Department of Anesthesia and Critical Care, Hiroshima University Hospital, Hiroshima 734-8551.
Nakao
Miwako
M
Kawaguchi
Ryoji
R
Kagawa
Naoki
N
Tanaka
Issei
I
D000293:Adolescent; D000769:Anesthesia, Inhalation / Q000379:methods*; D002547:Cerebral Palsy / Q000150:complications*; D005260:Female; D006801:Humans; D016030:Kidney Transplantation