title: [Perioperative Blood Pressure Changes in a Patient Undergoing One-stage Bilateral Nephrectomy for Treatment-resistant Hypertension].
abstract: We describe our experience with a 15-year-old girl receiving anesthesia during one-stage bilateral nephrectomy for treatment-resistant hypertension due to chronic renal failure. Approximately 10 minutes after removal of both kidneys, a reduction in blood pressure associated with decreased cardiac contractile force was observed and this necessitated catecholamine administration. However, blood pressure was sufficiently improved approximately 60 minutes later, and catecholamine administration was not necessary after she awoke from anesthesia. Although administration of an antihypertensive agent as required after surgery, as had been the case before surgery, the dose was gradually tapered and we were able to stop drug administration on postoperative day 31.
authors.forename: Yohei
authors.initials: Y
authors.lastname: Iwasaki
authors.forename: Junichi
authors.initials: J
authors.lastname: Haruna
authors.forename: Keiji
authors.initials: K
authors.lastname: Sakubata
authors.forename: Machiko
authors.initials: M
authors.lastname: Hashimoto
authors.forename: Yayoi
authors.initials: Y
authors.lastname: Tanaka
authors.forename: Osamu
authors.initials: O
authors.lastname: Uemura
authors.forename: Yoshiko
authors.initials: Y
authors.lastname: Hibi
mesh_terms: D000293:Adolescent; D001794:Blood Pressure; D005260:Female; D006801:Humans; D006973:Hypertension / Q000503:physiopathology / Q000601:surgery*; D009392:Nephrectomy; D059035:Perioperative Period