The anesthetic management of a child with chronic hypotension for renal transplantation.
The anesthetic management of renal transplant recipients requires the maintenance of an adequate perfusion pressure to ensure viability of the donated kidney. A common finding among patients with end-stage renal disease is chronic hypertension. We report a case involving a 2-year-old child with an age-adjusted blood pressure below normal, undergoing transplantation of an adult cadaveric kidney, during which high-dose vasopressor medications were used to sustain the child's blood pressure at above-normal levels to help ensure perfusion of the adult allograft.
Kim
Tae W
TW
Department of Anesthesiology, Baylor College of Medicine, Houston, TX 77030, USA. twkim@bcm.tmc.edu
Bailard
Neil
N
Coveler
Lewis A
LA
D002675:Child, Preschool; D004298:Dopamine / Q000627:therapeutic use*; D006801:Humans; D007022:Hypotension / Q000150:complications / Q000188:drug therapy*; D007676:Kidney Failure, Chronic / Q000150:complications / Q000503:physiopathology / Q000601:surgery; D016030:Kidney Transplantation; D008297:Male; D010656:Phenylephrine / Q000627:therapeutic use*; D014662:Vasoconstrictor Agents / Q000627:therapeutic use
D014662:Vasoconstrictor Agents; D010656:Phenylephrine; D004298:Dopamine