[Patients with kidney disease].
For patients with kidney disease it is particularly important to secure normovolaemia before anaesthesia. By providing the volume that secures a maximal venous oxygen saturation or a maximal cardiac output, such a volume can be defined with an accuracy of 100-200 ml. Surgical procedures for the kidney patient are dominated by providing an i.v. access. The internal jugular vein is preferred after identification of its lumen by ultrasound.
Secher
Niels H
NH
H:S Rigshospitalet, Abdominalcenteret, Anaestersiologisk og Nefrologisk Klinik, København Ø. nhsecher@rh.hosp.dk
Swiatek
Frans Aa
FA
Egfjord
Martin
M
D000758:Anesthesia / Q000009:adverse effects / Q000379:methods; D001810:Blood Volume; D002405:Catheterization, Central Venous; D006801:Humans; D007262:Infusions, Intravenous; D007431:Intraoperative Complications / Q000209:etiology / Q000517:prevention & control; D007674:Kidney Diseases / Q000150:complications* / Q000503:physiopathology; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D011300:Preoperative Care / Q000379:methods; D006435:Renal Dialysis; D012307:Risk Factors; D013514:Surgical Procedures, Operative / Q000009:adverse effects*; D014882:Water-Electrolyte Balance